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Case Reports
. 2014 May;20(2):157-9.
doi: 10.4103/0973-1075.132653.

Primary peritoneal serous carcinoma: a rare case and palliative approach

Viral M Bhanvadia  1 , Jignesh K Parmar  1 , Yogendra G Madan  1 , Shamim S Sheikh  1
Affiliations
Case Reports

Primary peritoneal serous carcinoma: a rare case and palliative approach

Viral M Bhanvadia et al. Indian J Palliat Care. 2014 May.

Abstract

Primary peritoneal serous carcinoma (PPSC) is a rare primary malignancy that diffusely involves the peritoneum, indistinguishable clinically and histopathologically from primary serous ovarian carcinoma. The origin of PPSC has not been well characterized. Here we present a case of PPSC diagnosed in ultrasonography-guided fine needle aspiration cytology (FNAC) in a 76- old female presenting with ascites, abdominal pain, distension and constipation. PPSC is an unusual tumour but cytomorphology is distinctive enough to diagnose preoperatively. In the case report hereby described PPSC is an inoperable malignancy, hence chemotherapy and palliative care are the only offered treatment.

Keywords: Chemotherapy; Fine needle aspiration cytology; Primary peritoneal serous carcinoma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Contrast-enhanced CT scan showsomental caking and ascites (b) Contrast-enhanced CT scan shows ascites and pelvic peritoneal thickening
Figure 2
Figure 2
(a) T2 MRI showsuterus appear small and atrophic and thickened pelvic pritoneum. (b) T2 weighted MRI shows uterus and both adnexa appear unremarkable
Figure 3
Figure 3
(a) Hematoxylin and eosin stain (H and E stain), (40) shows three-dimensional clusters, papillaroid arrangement, and multinucleated giant cells. (b) H and E stain (100) shows palisading of typical tumour cells
Figure 4
Figure 4
(a) H and E stain (×400) shows sheets and clusters of tumour cells having eccentric nuclei, prominent nucleoli. (b) Papanicolaou stain (400) shows papillary cluster of tumour cells
See this image and copyright information in PMC

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