title: Primary peritoneal serous psammocarcinoma: a case report.
abstract: BACKGROUND
  Psammocarcinomas (PCas) are rare epithelial tumors, usually originating in the ovaries or the peritoneum. These tumors are morphologically characterized by extensive psammomatous calcifications, invasiveness and low-grade cytological features.
  
  
  METHODS
  We present the case of a 54-year-old woman who was referred to our department with an umbilical tumor and increasing abdominal girth. The patient had had an umbilical hernia for more than 20 years. The CA 125 level was normal. The CT scan showed small peritoneal nodules at the level of the Douglas pouch, including the posterior wall of the uterus, and the entire colon, as well as large nodules located on the caecum and the sigmoid colon. We performed partial enterectomy, total colectomy with ileo-rectal anastomosis, omentectomy, total histerectomy and bilateral adnexectomy, pelvic peritonectomy of the Douglas pouch. Pathology findings were consistent with F.I.G.O. stage IIIC peritoneal PCa. The patient received adjuvant chemotherapy with Taxol and Carboplatin. To date, twelve months after surgery, the follow-up shows no evidence of disease.
  
  
  CONCLUSIONS
  Standardized treatment protocols are hindered by the rarity of the PCas. However, literature concludes that optimal debulking is mandatory, whereas the efficacy of adjuvant chemotherapy remains to be elucidated.
authors.affiliation: Surgery Department CF Universitary Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania. toganel_r@yahoo.com.
authors.forename: Răzvan Dan
authors.initials: RD
authors.lastname: Togănel
authors.affiliation: Surgery Department CF Universitary Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Ioan
authors.initials: I
authors.lastname: Şimon
authors.affiliation: Pathology Department; CF Universitary Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Adriana
authors.initials: A
authors.lastname: Zolog
authors.affiliation: Surgery Department CF Universitary Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Răzvan
authors.initials: R
authors.lastname: Simescu
authors.affiliation: Internal Medicine Department, CF Universitary Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Angela
authors.initials: A
authors.lastname: Cozma
authors.affiliation: Surgery Department CF Universitary Hospital, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Valentin
authors.initials: V
authors.lastname: Muntean
mesh_terms: D000315:Adrenalectomy; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001706:Biopsy; D002114:Calcinosis / Q000473:pathology*; D016190:Carboplatin / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D003082:Colectomy; D065426:Cytoreduction Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D060787:Neoplasm Grading; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D018297:Neoplasms, Cystic, Mucinous, and Serous / Q000473:pathology* / Q000628:therapy; D017239:Paclitaxel / Q000627:therapeutic use; D010534:Peritoneal Neoplasms / Q000473:pathology* / Q000628:therapy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D016190:Carboplatin; D017239:Paclitaxel