Metastatic primary peritoneal carcinoma: an unexpected finding on histological examination of haemorrhoids

Gm, Lloyd; Neal, CP; Pd, Da Forno; West, Kevin; As, Miller

doi:10.1111/j.1463-1318.2009.01943.x

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…In our EOPPC case, a very distinct pattern of 18 F-FDG uptake was seen in the thickened omentum and pelvic peritoneum, with FDG uptake over the surface of the uterus and anterior rectum and no abnormal focal FDG uptake in the ovaries. The PET/CT was also able to detect an FDG-avid lymph node in the retroperitoneum that was deemed to be normal on MRI, an important consideration as EOPPC is able to spread not only transperitoneally, but can also manifest lymph node and distant metastases [31][32][33]. Cytoreductive surgery has been shown to be an important independent prognostic factor, and is one of the few variables that significantly affect long term survival [5,34].…”

Section: Discussionmentioning

confidence: 97%

Extraovarian primary peritoneal carcinoma: staging with 18F-FDG PET/CT

2011

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A 69-year-old woman who presented with left lower quadrant abdominal pain and elevated serum cancer antigen 125 (CA-125) levels was referred for an MRI and an (18)F-FDG PET/CT to evaluate a suspicious abdominal mass seen on ultrasound. PET/CT showed extensive, intensely FDG-avid, omental and pelvic peritoneal thickening with no suspicious ovarian or colon masses. Based on the PET/CT results, the patient had extensive debulking surgery and histopathological evaluation revealed an extraovarian primary peritoneal carcinoma (EOPPC). (18)F-FDG PET/CT may be useful in differentiating EOPPC from other types of peritoneal carcinomatosis, and in determining the extent of the disease to better guide surgical management and improve long term outcomes.

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Section: Discussionmentioning

confidence: 97%

Extraovarian primary peritoneal carcinoma: staging with 18F-FDG PET/CT

2011

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“…Fifty percent of patients have distant metastases at diagnosis and twenty percent present with regional lymph nodes [2]. The presence of intraluminal bowel metastasis from PPC is a very rare occurrence and has been reported only twice in the literature [5,6].…”

Section: Introductionmentioning

confidence: 99%

A Rare Case of Primary Peritoneal Carcinoma With Large Bowel Metastasis

Jangam¹,

Math²

2023

Cureus

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Primary serous peritoneal carcinoma (PPC) is a rare malignancy often presenting with a significant disease burden and a poor prognosis. A 65-year-old female was seen in the surgical outpatient clinic with a twomonth history of weight loss, altered bowel habits and a CT scan characterizing a heterogenous right paracolic gutter mass and suspicious liver lesions. At colonoscopy, a prominent appendiceal orifice was biopsied to be poorly differentiated carcinoma favouring gynaecological tract origin. The patient was admitted with an acute small bowel obstruction secondary to progression of metastases and underwent neoadjuvant chemotherapy with a near complete response on repeat staging. A debulking hysterectomy, bilateral salpingo-oophorectomy, pelvic peritonectomy and small bowel nodule excision were performed. The diagnosis of PPC was confirmed when no malignancy was found in the pelvic organs. The presence of intraluminal colonic metastasis with PPC is exceedingly rare with this being only the third such case in the literature.

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Metastatic primary peritoneal carcinoma: an unexpected finding on histological examination of haemorrhoids

Abstract: References1 Lund JN, Scholefield JH. Aetiology and treatment of anal fissure. Br J Surg 1996; 83: 1335-44. 2 Hananel N, Gordon PH. Re-examination of clinical manifestations and response to therapy of fissure-in-ano. Dis Colon

Cited by 2 publications

References 5 publications

Extraovarian primary peritoneal carcinoma: staging with 18F-FDG PET/CT

Extraovarian primary peritoneal carcinoma: staging with 18F-FDG PET/CT

A Rare Case of Primary Peritoneal Carcinoma With Large Bowel Metastasis

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