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. 2021 Dec;17(4):210142.
doi: 10.1183/20734735.0142-2021.

In pursuit of the primary

Jane Mendonca  1 , Vishak Acharya  1 , Sanyo D'souza  2 , Kausalya Kumari Sahu  3 , Sindhu Kamath  1 , Jyoti R Kini  3
Affiliations

In pursuit of the primary

Jane Mendonca et al. Breathe (Sheff). 2021 Dec.

Abstract

Extraovarian primary peritoneal carcinoma (EOPPC) is a rare tumour of the peritoneum that shares many features with serous ovarian carcinoma because of a common embryological origin. We report a case of EOPPC presenting with a malignant pleural effusion. https://bit.ly/3GMuKgL.

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Conflict of interest statement

Conflict of interest: J. Mendonca has nothing to disclose. Conflict of interest: V. Acharya has nothing to disclose. Conflict of interest: S. D'Souza has nothing to disclose. Conflict of interest: K.K. Sahu has nothing to disclose. Conflict of interest: S. Kamath has nothing to disclose. Conflict of interest: J.R. Kini has nothing to disclose.

Figures

Figure 1
Figure 1
Portable chest radiograph showing a large, right-sided pleural effusion causing a shift of the mediastinum to the left side.
Figure 2
Figure 2
a) Cellular smear made up of three-dimensional clusters of atypical hyperchromatic cells (Papanicolaou stain, 4× magnification). b) Higher magnification revealed a papillaroid cell cluster with pleomorphic darkly stained nuclei (Papanicolaou stain, 20× magnification). c) Smear showing papillaroid clusters of neoplastic cells (May Grunwald-Giemsa stain, 10× magnification). d) Higher magnification revealed neoplastic cells with high nuclear/cytoplasmic ratio, irregular nuclear membrane and some of the nuclei with prominent nucleoli (May Grunwald-Giemsa stain, 40× magnification).
Figure 3
Figure 3
FDG PET-CT image showing increased uptake in the pelvic peritoneum and omentum.
Figure 4
Figure 4
a) Section from small bowel mesentery showing tumour cells in an acinar pattern (May Grunwald-Giemsa stain, 40× magnification). b) Section from left paracolic gutter peritoneum showing tumour nodules in nests (May Grunwald-Giemsa stain, 40× magnification). c) Section from the left ovary showing normal ovarian stroma (May Grunwald-Giemsa stain, 10× magnification).
See this image and copyright information in PMC

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