Case Report: Fortuitous discovery of primary peritoneal psammocarcinoma
Imen Helal,Fatma Khanchel,Raja Jouini,Maissa Ben Thayer,Chaouki Mbarki,Hajer Bettaieb,Saber Rebii,Imen Ben Ismail,Ehsen Ben Brahim,Aschraf Chedli-Debbiche +9 more
TLDR
A rare case of PPP in a 74-year-old female, discovered fortuitously within a laparotomy for gallbladder lithiasis, found that both ovaries were intact having a normal size and died of SARS-CoV-2 six days after surgery.Abstract:
Psammocarcinoma is an uncommon subtype of low-grade serous carcinoma. It is characterized by the presence of extensive psammoma bodies and can have either an ovarian or peritoneal origin. To our knowledge fewer than 30 cases of primary peritoneal psammocarcinoma (PPP) have been reported in the English literature. We report a rare case of PPP in a 74-year-old female, discovered fortuitously within a laparotomy for gallbladder lithiasis. At laparotomy, multiple nodular implants involving the omentum, the peritoneum and a magma of intestinal loops in the right iliac fossa were noted. A biopsy from nodules was performed. Gross examination showed multiple nodules of different sizes in the fat tissue. Pathologic examination showed massive psammoma bodies representing more than 75% of the tumor. The final diagnosis was psammocarcinoma. Our patient was referred to the gynecologic department for further investigation and to ascertain whether the tumor arose from the ovaries or peritoneum. Hysterectomy, bilateral adnexectomy and omentectomy were performed. Macroscopic examination showed that both ovaries were intact having a normal size. No invasion of ovarian stroma was shown in microscopic examination. The patient died of SARS-CoV-2 (COVID-19) six days after the surgery. PPP is a rare type of low-grade serous carcinoma. The behavior of this tumor is unclear, and the treatment is not standardized because of its rarity and lack of long-term follow-up. More cases need to be studied for better understanding and improvement of the management protocols.read more
Citations
More filters
Journal ArticleDOI
Primary peritoneal serous psammocarcinoma, rare variant: A case report
TL;DR: A 49-year-old obese woman, gravida 1 para 1 with poorly controlled type 2 diabetes, presented with a history of menorrhagia and was diagnosed with both leiomyomata and simple endometrial hyperplasia without atypia in the office as discussed by the authors .
References
More filters
Journal ArticleDOI
Pathology of Tumours
TL;DR: It is still essential for the results of morphological inquiry not only to be preserved but also to be reviewed, summarized and restated in the light of contemporary opinions.
Journal ArticleDOI
Serous psammocarcinoma of the ovary and peritoneum
TL;DR: The clinical behavior of psammocarcinoma more closely resembles that of borderline serous tumors than of serous carcinomas of the usual type, following a protracted course and being associated with a relatively favorable prognosis.
Journal ArticleDOI
Blaustein's Pathology of the Female Genital Tract, 5th edition
TL;DR: This book presents proven sales techniques to turn ribonuclease p 1st edition alongz mental ability test papers in hindi boscos v f odoyevsky his life times and milieu trupin document about slaves story is available on print.
Journal ArticleDOI
Value of immunohistochemistry in distinguishing peritoneal mesothelioma from serous carcinoma of the ovary and peritoneum: a review and update.
TL;DR: The conclusion of this review indicates that the positive serous carcinoma markers, by and large, have a higher degree of sensitivity and specificity in assisting in discriminating between these malignancies than the positive mesothelioma markers.
Journal ArticleDOI
Grade 1 peritoneal serous carcinomas: a report of 14 cases and comparison with 7 peritoneal serous psammocarcinomas and 19 peritoneal serous borderline tumors.
TL;DR: Low-grade peritoneal serous carcinomas, psammocarcinoma, and serous borderline tumors ofPeritoneal origin share some clinicopathologic features that may be underrecognized at surgery and gross examination and Conservative therapy is merited for younger women with borderline tumors.