DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20163452

Incidental diagnosis of extra ovarian primary peritoneal carcinoma at caesarean section

Delphine Rose, Soundararajan Pradeeba

Abstract


Extra ovarian primary peritoneal carcinoma is rare and interesting tumour characterized by peritoneal carcinomatosis with ascites and by a histological pattern similar to ovarian serous papillary adenocarcinoma. It is a relatively newly defined disease. Most reported cases of EOPPC have been in elderly women. Here we report a case of EOPPC diagnosed incidentally while performing an emergency caesarean section in an otherwise healthy and young primigravida. Patient had diffuse metastatic peritoneal deposits peroperatively. She was started on chemotherapy.

Keywords


Peritoneal carcinoma, Caesarean section, Metastasis

Full Text:

PDF

References


Eltabbakh GH, Piver MS. Extraovarian primary peritoneal carcinoma. Oncology (Willinston Park). 1998;12:813-25.

Bloss JD, Liao SY, Buller RE, Manett A, Berman ML, McMeekin S, et al. Extraovarian peritoneal serous papillary carcinoma: a case-control retrospective comparison to papillary adenocarcinoma of the ovary. Gynecol Oncol. 1993;50:347-51.

Feuer GA, Shevchuk M, Calanog A. Normal-sized ovary carcinoma syndrome. Obstet Gynecol. 1989;73:786-92.

Swerdlow M. Mesothelioma of the pelvic peritoneum resembling papillary cystadenocarcinoma of the ovary. Am J Obstet Gynecol. 1959;77:197-200.

Chu Cs, Menzin AW, Leonard DGB, Rubin SC, Wheeler JE. Primary peritoneal carcinoma: A review of the literature. Obstet Gynecol Surv. 1999;54:323-35.

Shibata R, Matsufuji H, Morimoto T, Hosoya R, Araki K, Hata J. Extraovarian primary peritoneal carcinoma in a child. Pediatr Blood Cancer. 2004;42:292-3.

Shmueli E, Leider-Trejo L, Schwartz I, Aderka D, Inbar M. Primary papillary serous carcinoma of the peritoneum in a man. Ann Oncol. 2001;12:563-7.

Fromm GL, Gershenson DM, Silva EG. Papillary serous carcinoma of the peritoneum. Obstet Gynecol. 1990;75:75-89.

Eltabbakh GH, Piver MS, Werness BA. Primary peritoneal adenocarcinoma metastatic to the brain. Gynecol Oncol. 1997;66:160-3.

Altaras MM, Aviram R, Cohen I, Cordoba M, Weiss E, Beyth Y. Primary peritoneal papillary serous adenocarcinoma: clinical and management aspect. Gynecol Oncol. 1991;40:230-6.

Mills SE, Andersen WA, Fechner RE, Austin MB. Serous surface papillary carcinoma. A clinicopathologic study of 10 cases and comparison with stage III-IV ovarian serous carcinoma. Am J Surg Pathol. 1998;12:827-34.

Bollinger DJ, Wick MR, Dehner LP, Mills SE, Swanson PE, Clarke RE. Peritoneal malignant mesothelioma versus serous papillary adenocarcinoma. Am J Surg Pathol. 1989;13:659-70.

Ordoñez NG. Role of immunohistochemistry in distinguishing epithelial peritoneal mesotheliomas from peritoneal and ovarian serous carcinomas. Am J Surg Pathol. 1998;22:1203-14.

García-Prats MD, Ballestin C, Sotelo T, Lopez-Encuentra A, Mayordomo JI. A comparative evaluation of immunohistochemical markers for the differential diagnosis of malignant pleural tumours. Histopathology. 1998;32:462-72.

Ordoñez NG. Value of estrogen and progesterone receptor immunostaining in distinguishing between peritoneal mesotheliomas and serous carcinomas. Hum Pathol 2005; 36:1163-1167.

Goepel JR. Benign papillary mesothelioma of peritoneum: A histological, histochemical and ultrastructural study of six cases. Histopathology. 1987;5:21-30.

Bell DA, Scully RE. Serous borderline tumors of the peritoneum. Am J Surg Pathol. 1990;14:230-49.

Zinser KR, Wheeler JE. Endosalpingiosis in the omentum. A study of autopsy and surgical material. Am J Surg Pathol. 1982;6:109-17.

Gilks CB, Bell DA, Scully RE. Serous psammocarcinoma of the ovary and peritoneum. Int J Gynecol Pathol. 1990;9:110-21.

Kannerstein M, Churg J. Peritoneal mesothelioma. Hum Pathol. 1997;8: 83-94.

Muto MG, Welh WR, Mok SC, Bandera CA, Fishbaugh PM, Tsao SW, et al. Evidence for a multifocal origin of papillary serous carcinoma of the peritoneum. Cancer Res.1995;55:490-2.

Kupryjanczyk J, Thor AD, Beauchamp R, Poremba C, Scully RE, Yandell DW. Ovarian, peritoneal, and endometrial serous carcinoma: Clonal origin of multifocal disease. Mod Pathol 1996; 9: 166-173.

Euscher ED, Malpica A, Deavers MT, Silva EG. Differential expression of WT-1 in serous carcinomas in the peritoneum with or without associated serous carcinoma in endometrial polyps. Am J Surg Pathol. 2005;29:1074-8.