Cytoreductive surgery in the management of malignant ascites from adenocarcinoma of unknown primary (ACUP).
A case report is presented of a 62-year-old man with adenocarcinoma of unknown primary (ACUP) who was admitted with massive ascites from intraperitoneal carcinomatosis secondary to a gastrointestinal tract malignancy. A computed tomography scan of the abdomen and pelvis confirmed extensive neoplasm. A near-total omentectomy was performed, and he was given postoperative systemic chemotherapy. Although his expected survival was 3 to 6 months, he lived 20 months, enjoying a good quality of life until the end. Cytoreductive surgery should be offered to some patients with peritoneal carcinomatosis because it may provide significant palliation.
Spurgeon
Jade M
JM
Department of Surgery, Keesler Medical Center, Room 1A248, 301 Fisher Street, Keesler Air Force Base, MS 39534-2576, USA.
Cotlar
Alvin M
AM
D000230:Adenocarcinoma / Q000556:secondary / Q000628:therapy*; D001201:Ascites / Q000473:pathology; D017024:Chemotherapy, Adjuvant; D010478:Chemotherapy, Cancer, Regional Perfusion / Q000379:methods*; D003131:Combined Modality Therapy; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D007813:Laparotomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology*; D009382:Neoplasms, Unknown Primary / Q000473:pathology*; D009852:Omentum / Q000473:pathology / Q000601:surgery; D010166:Palliative Care; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000628:therapy*; D014057:Tomography, X-Ray Computed