1/6. Peritoneal schistosomiasis: an unusual laparoscopic finding.Laparoscopic surgery is now a common procedure for the cure of appendicitis. Unexpected other laparoscopic findings can be a diagnostic challenge. The authors present a case in which, in addition to typical appendicitis, multiple whitish nodules were found diffusely on the peritoneal surfaces suggesting a differential diagnosis including miliary tuberculosis and carcinoma metastases. The final diagnosis of schistosomiasis, made by histology and serology, had not been suspected. This uncommon and rare presentation deserves to be reported, especially to physicians of nonendemic areas, in an era in which people travel extensively.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
2/6. Benign cystic mesothelioma of the peritoneum: report of a case.A 36-year-old multiparous woman presented with the chief complaint of mass and fullness over the lower abdomen for the previous 3 months. Abdominal ultrasound revealed a uniloculated, thin-walled cyst attached to the peritoneal surface of the right lower abdomen. The cyst was surgically excised and confirmed to be cystic mesothelioma of the peritoneum by histopathologic and immunohistochemical studies. Benign cystic mesothelioma is an extremely rare intraperitoneal tumor. Although its etiology remains unclear, one distinctive clinicopathologic feature is a symptomatic abdominal mass in young females. The presence of a thin-walled cyst attached to the peritoneum on ultrasound should alert physicians to the possibility of this disease. The treatment of choice is complete resection and reexcision may be required due to a preponderance for local recurrence. Regular postoperative ultrasound follow-up is recommended to check for possible recurrence.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
3/6. Other cancers in uveal melanoma patients and their families.To determine associations with other cancers, 400 consecutive uveal melanoma patients examined at wills eye Hospital between 1984 and 1985 were surveyed regarding personal and family history of cancer. Responses were received from 333 (83%). Sixty patients reported 43 nonbasal cell second primary cancers, which were confirmed pathologically or by physician records. The overall prevalence of nonbasal cell cancers diagnosed in uveal melanoma patients by December 1985 was over two times greater than the expected prevalence, based on the connecticut Tumor Registry data for an age- and sex-matched population. Gynecologic cancers tended to be more common in uveal melanoma female patients than in the comparison population. Although the observed prevalence of cutaneous melanoma was not significantly greater than expected, three cases with both primary cutaneous and uveal melanoma were reported. family histories of cutaneous melanoma were confirmed in 14 patients, and uveal melanoma in two patients. Data suggested that the overall cancer prevalence in uveal melanoma patients may be increased, that hormonal factors may play a role in the genesis of this malignancy, and that there may be a link between cutaneous and uveal melanoma.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
4/6. Extraovarian stage IV peritoneal serous papillary carcinoma presenting as an asymptomatic skin lesion--a case report and literature review.An 81-year-old G2 P2 white female in good health with the exception of well-controlled hypertension presented to her family physician with a newly discovered lesion in the skin of the abdominal left lower quadrant. Initially, this nodule was viewed as innocuous and was followed with the expectation that it would soon resolve. Three months later, the lesion was biopsied, revealing a pattern consistent with papillary serous carcinoma from a presumed ovarian primary. CT scan revealed a pelvic mass. Subsequent laparotomy revealed a benign tubal cystadenofibroma, but otherwise normal pelvic viscera. Additional findings, however, included multiple small parietal peritoneal nodules histopathologically diagnosed as extraovarian peritoneal serous papillary carcinoma similar to the skin lesion. All gross disease was extirpated. The patient received chemotherapy as for advanced ovarian cancer.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
5/6. Papillary intraperitoneal neoplasia resembling ovarian carcinoma after removal of benign ovaries.Ovarian cancer continues to be a major cause of death in women since there are no reliable screening methods and because symptoms usually do not appear until the disease has progressed to Stage III or IV, when the chances of cure are very poor. Prophylactic oophorectomy is being considered by some physicians for any woman undergoing hysterectomy after age 40-45. Even with the removal of benign ovaries, intraperitoneal carcinomatosis histologically resembling ovarian cancer can occur. This article describes a case of primary papillary intraperitoneal neoplasia resembling serous adenocarcinoma of the ovary which presented two years after removal of benign ovaries.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |
6/6. Abnormal cervical cytology leading to the diagnosis of a primary serous adenocarcinoma of the peritoneum.A case is presented where abnormal cervical cytology in an asymptomatic female led to the diagnosis of a primary serous adenocarcinoma of the peritoneum. We would like to highlight the importance to the physician of a tumour diathesis on malignant cervical cytology.- - - - - - - - - - ranking = 1keywords = physician (Clic here for more details about this article) |