[A case of peritoneal serous papillary adenocarcinoma].
A78-year-old female was admitted to our hospital with anorexia due to ascites. We were not able to diagnose by cytological diagnosis. For a definite diagnosis she underwent an open biopsy. Histological findings revealed observable papillary adenocarcinoma with psammoma body, carcinoma cells were positive for Ber-EP4 on immunostaining, and ovaries were normal. Thus, we made a diagnosis of peritoneal serous papillary adenocarcinoma. She was treated by intraperitoneal administration of CDDP(20 mg/day: day 1, every four weeks). Ascites vanished and CA125 was within the normal range. There was no recurrence after 3 years, but Virchow's lymph node metastasis occurred. The patient is still alive 12 months after metastasis with CDDP intraperitoneal administration.
Shinji
Akihiro
A
Dept. of Gastroenterology, Suwa Red Cross Hospital.
Hara
Etsuo
E
Mukawa
Kenji
K
Mochizuki
Taro
T
Ohta
Hiroshi
H
Yamamura
Nobuyoshi
N
Oguchi
Hisao
H
Yazawa
Kazuyuki
K
Kajikawa
Shoji
S
Nakamura
Toshitsugu
T
D000231:Adenocarcinoma, Papillary / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D000368:Aged; D000970:Antineoplastic Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D010534:Peritoneal Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000970:Antineoplastic Agents