Unusual Abdominal And Pelvic Tumors (case 2. Spontaneous Regression Of Peritoneal Implants In Borderline Ovarian Tumor After Salpingo-oophorectomy)
Morice, P., Thoury, A., Sabourin, J. C., Camatte, S., Atallah, D., Armand, J. P., Madelenat, P., Duvillard, P., & Castaigne, D. (2003). Case 2. spontaneous regression of peritoneal implants in borderline ovarian tumor after salpingo-oophorectomy. Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 21(18), 3536–3538. https://doi.org/10.1200/JCO.2003.12.021
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Article Tools DIAGNOSIS IN ONCOLOGY Article Tools OPTIONS & TOOLS Export Citation Track Citation Add To Favorites Rights & Permissions COMPANION ARTICLES No companion articles ARTICLE CITATION DOI: 10.1200/JCO.2003.12.021 Journal of Clinical Oncology - published online before print September 21, 2016 PMID: 12972532 Unusual Abdominal and Pelvic Tumors CASE 2. SPONTANEOUS REGRESSION OF PERITONEAL IMPLANTS IN BORDERLINE OVARIAN TUMOR AFTER SALPINGO-OOPHORECTOMY P. MoricexP. MoriceSearch for articles by this author , A. ThouryxA. ThourySearch for articles by this author , J.C. SabourinxJ.C. SabourinSearch for articles by this author , S. CamattexS. CamatteSearch for articles by this author , D. AtallahxD. AtallahSearch for articles by this author , J.P. ArmandxJ.P. ArmandSearch for articles by this author , P. MadelenatxP. MadelenatSearch for articles by this author , P. DuvillardxP. DuvillardSearch for articles by this author , D. CastaignexD. CastaigneSearch for articles by this author Show More Institut Gustave Roussy, Villejuif, France; and Centre Hospitalier Universitaire Bichat, Paris, France https://doi.org/10.1200/JCO.2003.12.021 First Page Full Text PDF Figures and Tables
Case Details
Disease Location
Ovary
Personal Characteristics
49 -year-old female history of right salpingo-oophorectomy for ovarian borderline tumor 20 years previously
Clinical Characteristics
Patient underwent laparoscopy for pelvic pains a suspicious tumor on the left ovary with numberous peritoneal implants on the pelvic cavity and a m-year-old malea were found laparotomy was performed to carry out a left salpingo-oophorectomy, m-year-old maleectomy, and peritoneal biopsies histology revealed the presence of serous borderline tumor of the ovary with micropapillary component, positive peritoneal cytology and noninvasive peritoneal implants there was some residual disease that was persistent on the peritoneum of the pelvic cavity (varying from 1 to 5mm) at the end of the procedure 6 months following the salpingo-ooporectomy, a second look resection of residual peritoneal implants was planned using a laparoscopic approach which noted an adhesion of the omentum to the uterine scar of m-year-old maleectomy with 2 peritoneal implants of 2mm, several implants of 1mm were found on the douglas pouch, the peritoneum of the broad ligament and on the surface of the peritoneum of the bladder large peritonectomies were performed with a partial omentectomy, histology revealed the presence of only 2 small, noninvasive implants of the omentum calcospherites with fibrosis were found on the surface of the peritoneum
Remission Characteristics
6 months following the original procedure, ca125 antigen level and abdominalominopelvic CT were normal during the laparoscopic procedure, on the peritoneum of the pelvic cavity, a regression of the peritoneal implants was observed i.e., sr of peritoneal implants following resection of the ovarian tumor
Treatment & Mechanisms
Proposed Remission Mechanisms
No major mechanism proposed, except suggests behavior of peritoneal implants is related to the primary ovarian tumor due to the secreation of prosurvival factors
Clinical Treatment
Laparotomy, salpingo-oophorectomy, m-year-old maleectomy, and peritoneal biopsies