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직장에서 발생한 복막성 유두상 장액성 암 1예

A Case Report of Papillary Serous Peritoneal Carcinoma Arising from the Rectum

대한대장항문학회지 1997년 13권 2호 p.279 ~ 284
이상전 ( Lee Sang-Jeon ) - 충북대학교 의과대학 외과학교실

성노현 ( Sung Ro-Hyun ) - 충북대학교 의과대학 병리학교실

Abstract


Papillary serous peritoneal carcinoma(PSPC) is a rare malignancy that arises in the peritoneum and histologically resembles papillary serous carcinoma of the ovary. If peritoneal carcinomatosis occurs in the absence of an obvious primary tumor site and is associated with a papillary serous pathology, we may be dealing with the distinct entity
of PSPC of extraovarian origin. Radiological findings suggesting the diagnosis are diffuse microcalcifications in the peritoneum, which occur in relation to psammoma bodies. The Ca-125 is most often abnormal and, not uncommonly, markedly elevated. The diagnosis requires that the surgeon identify grossly normal ovaries or minimal surface involvement. If PSPC is confirmed, a total abdominal hysterectomy, bilateral salpingo-oophorectomy, and aggressive debulking surgery should be carried out, followed by cisplatin-based chemotherapy. We report a case of PSPC arising from the rectum in a 41 year-old woman.

키워드

Papillary Serous Carcinoma
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