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CASE REPORT
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 84-86

Primary peritoneal tumor: A rare malignancy with atypical presentation


1 Assistant Professor, IGIMS, India
2 Senior Resident, IGIMS, India
3 Professor & Head, Dept. of Gynecological Oncology, IGIMS, India
4 Professor & Head, Dept. of Hematology, IGIMS, India

Correspondence Address:
Sangeeta Pankaj
Professor & Head, Gynecological Oncology, SCI, IGIMS, Patna
India
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Source of Support: None, Conflict of Interest: None


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In females abdominal masses are mostly of uterine or ovarian origin. Rarely primary serous peritoneal tumors may present in similar fashion and should be considered as one of the differential diagnosis. A 62 year-old female patient presented to us with an abdominal mass. Her CA-125 was significantly elevated and the radiological picture was suggestive of solid adnexal mass with lymphadenopathy but no ascites. Optimal debulking surgery was performed including Total hysterectomy, bilateral oophorectomy, total omentectomy, lymphadenectomy and appendectomy. Histopathological examination revealed the excised specimen possessing characteristics of metastatic adenocarcinoma of mullerian origin however uterus and adnexa were unremarkable. After excluding other primary causes of metastatic adenocarcinoma, diagnosis of a primary peritoneal carcinoma was finally established. The objective of sharing this case is to emphasize over keeping PSPC in mind while establishing diagnosis of abdominal tumor without ascites for better management and patient outcome.


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