title: A case of primary serous papillary carcinoma with unusual clinical presentation: distant lympho nodes metastasis without peritoneal dissemination.
abstract: METHODS
  A 50-year-old woman with primary serous papillary carcinoma (PSPC) of peritoneal origin located in the posterior uterine serosa and cul-de-sac without peritoneal dissemination. No peritoneal dissemination was detected but the tumor metastasized to para-aortic and supraclavicular lymph nodes. After first chemotherapy course, pericardial effusion occurred. A pericardiectomy was performed to prevent cardiac failure. Subsequent chemotherapy with paclitaxel and carboplatin was effective against this tumor
  
  
  CONCLUSIONS
  In general, a typical type of PSPC usually develops distant metastasis with diffuse peritoneal dissemination; the present case shows unusual clinical behavior.
authors.affiliation: Department of Obstetrics and Gynecology, Kushiro Red Cross Hospital, 21-14 Shinei-cho, Kushiro, 860-0032, Japan. ytoshie@kushiro.jrc.or.jp
authors.forename: Toshie
authors.initials: T
authors.lastname: Yonehara
authors.forename: Tatsumi
authors.initials: T
authors.lastname: Yamaguchi
authors.forename: Masaki
authors.initials: M
authors.lastname: Azuma
authors.forename: Shinichiro
authors.initials: S
authors.lastname: Minobe
authors.forename: Noriaki
authors.initials: N
authors.lastname: Sakuragi
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003131:Combined Modality Therapy; D018283:Cystadenocarcinoma, Papillary / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery