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. 2009:2009:bcr10.2008.1063.
doi: 10.1136/bcr.10.2008.1063. Epub 2009 May 26.

Elevated CA125 in primary peritoneal serous psammocarcinoma: a case report and review of the literature

Affiliations

Elevated CA125 in primary peritoneal serous psammocarcinoma: a case report and review of the literature

Deng Zhen-Zhong et al. BMJ Case Rep. 2009.

Abstract

Psammocarcinoma is a rare form of serous carcinoma of the ovary or peritoneum, and it is characterised by extensive psammoma body formation and invasion of surrounding structures. This report describes the case of a 42-year-old woman who presented with large ascites and raised CA125 level. Following a full staging laparotomy, she was made stable in stage IIIC. Despite the limited number of cases reported, the clinical prognosis of carcinomas resembling the serous borderline lesions seems much more favourable than the common serous carcinomas. A summary of all the reported cases is provided to highlight the clinical and prognostic features of this scarce tumour.

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Figures

Figure 1
Figure 1
Peritoneal psammocarcinoma with numerous psammoma bodies (H&E ×20 original magnification).
Figure 2
Figure 2
Peritoneal psammocarcinoma invading the right ovary (H&E ×20 original magnification).
Figure 3
Figure 3
Peritoneal psammocarcinoma invading the right tube (H&E ×20 original magnification).
Figure 4
Figure 4
Peritoneal psammocarcinoma invading the posterior wall of uterus, with abundant psammoma bodies (H&E ×20 original magnification).

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