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The Treatment Of Malignant Peritonitis Of Ovarian Origin

Codman, E. A. 1918Ovarian cancer

Annals of Surgery 68: 1918; 338-346

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Abstract

A case report is presented which showed evidence of the spontaneous disappearance of lung metastases from a teratoma of the testes before the primary growth was removed. It should also be noted that deep x-ray therapy was not given. In fact, there was no treatment of any description.

Case Details

Personal Characteristics

A woman of thirty-two

Clinical Characteristics

Pelvic abscess, large inoperable pelvic mass, diffuse wart-like metastases scattered over the whole peritoneum, vaginal sinus persisted and discharged pus and occasionally lumps of necrotic malignant tissue, huge pelvic tumor which was adherent to the neighboring structures

Remission Characteristics

Peritoneum perfectly free from metastases

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Incision was made in the vagina, some papillocystic material was curetted out and drainage established, opened the abdomen, removing the entire tumor with all the pelvic organs, including the rectum. An artificial anus was made

Additional Notes

All pathologic specimens showed typical papillary cystadenoma. The large tumor was more solid than cystic