Normal-sized ovarian papillary serous carcinoma: a case report.
A normal-sized ovarian papillary serous carcinoma is rare. We present the case of a 46-year-old woman with progressive abdominal fullness of one week's duration. The medical evaluation revealed abdominal carcinomatosis with normal-sized ovaries and an elevated serum CA-125 level of 147,365.8 U/ml. Cytoreductive surgery (hysterectomy, bilateral salpingo-oophorectomy, omentectomy, lymphadenectomy, infracolic omentectomy, peritoneal biopsy, washing cytology, and appendectomy) was performed. The histologic examination revealed an ovarian serous papillary carcinoma. Adjuvant chemotherapy was administered. The serum CA-125 level decreased after completion of treatment. Normal-sized ovarian serous surface papillary carcinomas should be kept in mind as an origin of disease in patients who have peritoneal carcinomatosis, which sometimes is a diagnostic dilemma of the disease source. We report this case to emphasize the clinical symptoms and importance of the early and accurate diagnosis of a normal-sized ovarian papillary serous carcinoma.
Department of Obstetrics and Gynecology, China Medical University Hospital, Taichung, Taiwan.
W C
WC
Wu
C I
CI
Lai
L C
LC
Huang
T H
TH
Chiu
Y C
YC
Hung
W C
WC
Chang
D001201:Ascites / Q000000981:diagnostic imaging; D018283:Cystadenocarcinoma, Papillary / Q000000981:diagnostic imaging* / Q000473:pathology*; D018284:Cystadenocarcinoma, Serous / Q000000981:diagnostic imaging* / Q000473:pathology*; D005260:Female; D058869:Gynecological Examination; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms; D014463:Ultrasonography