Peritoneal cancer no symptoms

Ovarian high-grade serous carcinoma is a type of malignancy that is rare among young adult women, being more frequent in postmenopausal wo­men.

peritoneal cancer no symptoms

We present the case of a young woman with this type of malignant tumor, who in addition already had extension beyond the pelvis at the time of diagnosis, which is a poor prognostic factor. Case report. We repot the case of a year-old woman who was admitted in our hospital with pelvic pain and ascites and also with suspicion of peritoneal carcinomatosis.

High-grade ovarian serous carcinoma in a young woman - case report and literature review

After complex surgery, the histopathological result was bilateral ova­rian high-grade serous carcinoma with invasion of the perivesical peritoneum, mesoappendix, multiple omental involvement and one regional lymph node me­tastasis.

Afterwards, she was submitted for oncologic treatment. The follow-up, three years later, revealed patient survival, but with peritoneal carcinomatosis status on abdominal-pelvic CT scan. Our work brings together reports of young women worldwide facing this form of cancer and underlines the fact that, regardless of age, reproductive women are at risk of developing an aggressive and deadly disease, and that clinical, biological and imaging screening should be increased from an early age.

Keywords high-grade serous carcinoma, young women, screening Peritoneal cancer no symptoms Obiectiv.

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Carcinomul ovarian seros cu grad înalt de malignitate este un tip de cancer rar întâlnit la femeile tinere, fiind mai frecvent la femeile în postmenopauză. Vă prezentăm cazul unei femei tinere cu această formă de tumoră malignă, care se afla deja într-un stadiu avansat cu extensie extrapelviană la momentul diagnosticului, ceea ce reprezintă un factor de prognostic negativ.

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 - Он сказал, что на кольце были выгравированы какие-то буквы.

Prezentare de caz. Raportăm cazul unei femei de 36 de ani care s-a prezentat la spitalul nostru cu dureri pelviene și ascită, suspicionându-se carcinomatoză peritoneală. După intervenția chirurgicală histerectomie totală cu anexectomie bilaterală, apendicetomie și evidare ganglionară radicalărezultatul histopatologic a fost: carcinom ovarian seros de grad înalt, bilateral, cu invazia peritoneului perivezical, mezoapendice, omentală, precum și a unui limfoganglion regional.

Pacienta a supraviețuit și s-a prezentat periodic la control, însă la trei ani de la operație, la examenul CT abdomino-pelvian, s-au identificat semne de carcinomatoză peritoneală. Lucrarea noastră aduce în prim plan raportări de cazuri ale unor paciente tinere din întreaga lume suferind de această formă de cancer și subliniază faptul că, indiferent de vârstă, femeile aflate în perioada reproductivă sunt la risc de a peritoneal cancer no symptoms o afecțiune ovariană agresivă și letală, de aceea este important ca peritoneal cancer no symptoms clinic, biologic și imagistic să fie început de la o vârstă timpurie.

Serous carcinoma is most often diagnosed in the sixth and seventh decade, with a mean age of peritoneal cancer no symptoms tumors of 63 years old 3. Diagnosis is often delayed because symptoms are non-specific and include: abdominal pain, distension, gastrointestinal symptoms nausea, anorexia, constipationhigh urinary frequency, vaginal bleeding 1,3.

peritoneal cancer no symptoms

Traducere "peritoneu" în engleză

The treatment is represented by surgery and chemotherapy, and although most of them initially respond to chemotherapy, the response is not durable, compared with low-grade serous carcinomas, which are less likely to respond to chemotherapy, but have a more favorable prognosis, based on their indolent growth 4. Case report We report the case of a year-old woman with previous complains of abdominal pain and peritoneal cancer no symptoms abdominal distension who was admitted in our hospital.

Following ultrasound examination Figure 1we detected a large left peritoneal cancer no symptoms tumor multiple septa with intense vascularity during Doppler inspection and ascites. After CT examination of the abdomen and pelvis, peritoneal carcinomatosis was suspected.

CA and HE4 markers were slightly elevated.

  • Она повернулась к Стратмору, оставшемуся за дверью.

  • Один из прямоугольников вдруг закрыла чья-то тень.

Figure 1. Figure 2.

Macroscopic appearance of the left ovary; note the peritoneal cancer no symptoms of multiple solid and cystic areas with yellow-brown fluid On macroscopy, both ovaries were enlarged, the left one measuring 90 mm in diameter and the other 5 cm. On cut section the left ovary presented multiple solid and cystic areas with yellow-brown fluid Figure 2 ; similar appearance was also detected in the lateral margin of the right ovary.

Dacă inflamaţia sa răspândit peritoneu, există frecvent rebound sensibilitate. If inflammation has spread to the peritoneumthere is frequently rebound tenderness. Bleeder trebuie să fie în peritoneu retro. Bleeder must be in the retro peritoneum. Înseamnă doar că există fluid în peritoneu.

Figure 3. Solid area with severe pleomorphism and numerous mitosis H. Cystic area with papillary and micropapillary structures H.

Estrogen receptor positivity - IHC x40 The histopathological examination concluded bilateral ovarian high-grade serous carcinoma with invasion of the perivesical peritoneum, mesoappendix, multiple omental involvement and one regional lymph node metastasis stage IIICwith no evidence of metastasis to extraabdominal organs or parenchymal metastasis. The patient was submitted for further oncologic treatment.

Figure 6. In a published study, A.

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Malpica et al. The two-tier system of classification of serous carcinoma is composed of low-grade and high-grade tumors. The criteria for sub-classifying to one or the other are histological, represented by nuclear atypia and mitotic activity 3,6. According to age incidence, the low-grade tumors occur at younger age, with statistically declared one decade earlier than high-grade counterpart 1,6.