Cases reported "Peritoneal Neoplasms"

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11/18. bariatric surgery in the field of gynecological oncology.

    obesity has become a foremost health problem. More than half of US adults are overweight or obese. This has been due to sedentary lifestyles, increased intake of refined carbohydrates, and fat-rich diets. Obese women are particularly susceptible to a variety of health risks including cancer, especially cancers of the breast, endometrium, and colon. bariatric surgery appears to be a viable option for the treatment of severe obesity. As the role of surgery in the management of this condition becomes increasingly frequent, it is important for gynecological oncologists to recognize the potential for gynecological malignancies in this patient population.
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12/18. Well differentiated mesothelioma complicating endometrial carcinoma; a case report.

    Peritoneal mesothelioma is a rare cancer of the abdominal cavity which has low malignant potential. Peritoneal mesothelioma can mimic other types of gynecologic malignancies. Careful clinical and pathologic evaluation is essential for an accurate diagnosis and treatment.
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keywords = gynecologic
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13/18. Endometrioma of the liver.

    Hepatic endometriosis is extremely rare. We describe a patient sent to us with epigastric pain as the only symptom and who was found to have associated endometrioma of the liver and left ovary. We suggest a gynecologic evaluation before surgery for hepatic cyst of unknown cause.
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keywords = gynecologic
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14/18. Computed tomography of benign cystic teratoma of the omentum.

    Benign cystic teratoma of the omentum is a rare gynecologic condition. No cases have been diagnosed preoperatively; six cases have been reported in association with an ovarian teratoma. We report a seventh case in which ultrasound and CT were used preoperatively.
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keywords = gynecologic
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15/18. Constitutional trisomy 8 mosaicism and gestational trophoblastic disease.

    Concurrence of congenital trisomy 8 mosaicism and gestational trophoblastic disease in a 42-year-old gravida IV, para IV female is described in the present report. In contrast to other cases described in the literature, our patient had no known additional confounding chromosomal abnormalities other than trisomy 8. The finding of trisomy 8 mosaicism in yet another type of cancer provides further support for the hypothesis of an increased predisposition to cancer in tissues with constitutional genomic imbalance, which can manifest itself as numerical chromosomal abnormalities (e.g., trisomies) or structural chromosomal abnormalities (e.g., translocations). To the best of our knowledge, this is the only report in the English literature of constitutional trisomy 8 mosaicism associated with gestational trophoblastic disease, a rare gynecologic disease entity in itself.
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keywords = gynecologic
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16/18. Peritoneal papillary serous carcinoma in a woman with a history of utero DES exposure.

    Antenatal exposure to diethylstilbestrol (DES) has been implicated in the development of clear-cell adenocarcinoma of the vagina and cervix. In addition, there are a handful of case reports of gram cell tumors and other benign ovarian tumors in the offspring of women treated with DES during pregnancy. This the first report of a papillary serous carcinoma of the peritoneum following in utero exposure to DES. As the population of women with a history of in utero exposure to DES is reaching into the fourth decade, these patients need to be closely monitored for the development of gynecologic malignancies, especially epithelial and germ cell ovarian tumors. We also encourage the reporting of these tumors of the DES registry to document the exact incidence of these malignancies.
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keywords = gynecologic
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17/18. syndrome of inappropriate antidiuretic hormone secretion in papillary serous surface carcinoma of the peritoneum.

    A case of syndrome of inappropriate antidiuretic hormone secretion (SIADH) in a patient with suboptimally cytoreduced stage III papillary serous surface carcinoma of the peritoneum is described. After the primary surgery, the patient refused further therapy. Within a month bilateral pleural effusions and abdominal ascites compelled the patient to accept treatment with carboplatin and cyclophosphamide. Ten days following the chemotherapy, she was admitted in a disoriented state with serum sodium of 117-mEq/L. During the evaluation, treatment, and subsequent follow-up, the diagnosis of SIADH was confirmed. Numerous disease processes have been associated with the development of SIADH; however, there have been few reports in gynecologic malignancies. Possible etiology and clinical management of this patient are briefly discussed.
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keywords = gynecologic
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18/18. Abdominal mycobacterial infection mimicking a gynecologic neoplasm: a case report with sonographic findings.

    Computed tomography (CT) appears to be the imaging procedure of choice for evaluation of intra-abdominal and pelvic mycobacterial infections. In view of the limited descriptions of these lesions, we describe a patient who presented with transabdominal ultrasound findings of a pelvic mass. Transvaginal ultrasound was suspicious for ovarian neoplasm, yet at laparotomy, fibrous studding of the peritoneum and inflammatory exudate encasing the pelvic small bowel was discovered. The fallopian tubes were thickened and friable. Permanent histologic sections revealed caseating granulomata with acid-fast bacilli.
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