Jejunal duvar kalınlaşmasının nadir bir nedeni: Primer seröz papiller peritoneal karsinoma

Primer seröz papiller peritoneal karsinoma, peritonun nadir görülen bir adenokarsinomudur ve histolojik özellikleri overin seröz papiller karsinomu ile benzerdir. Ancak primer seröz papiller peritoneal karsinomada tipik olarak overler normaldir. Sıklıkla postmenapozal kadınlarda (ortalama yaş 55-65) görülür. En sık görülen bulgular asit ve karsinoembriyonik antijen-125 yüksekliğidir. Abdominal bilgisayarlı tomografi ve manyetik rezonans görüntülemelerde asit, peritoneal kalınlaşma, omental kek ve intraabdominal kitle görülen bulgulardır. Bu yazımızda jejunoileal duvar kalınlaşması ve asit ile başvuran ve primer seröz papiller peritoneal karsinoma tanısı alan olgu sunuldu. Literatürde jejunaileal tutulum ile prezente olan ilk vakadır.

A rare cause of jejunal wall thickening: Primary peritoneal serous papillary carcinoma

Primary papillary serous carcinoma is a rare neoplasm of the peritoneum and is histologically similar to papillary serous carcinoma of the ovary. However, the presence of ovaries is quite common in primary papillary serous carcinoma. It is predominantly present in postmenopausal women (mean age, 55–65 years). The most common clinical findings are ascites and elevated carcinoembryonic antigen 125. Radiological findings, such as computed tomography and magnetic resonance imaging, on the abdomen showed ascites, peritoneal thickness, omental cake, and intra-abdominal mass. In this abstract, we are presenting the clinical findings of apatient with primary papillary serous carcinoma along with jejunoileal wall thickening and ascites.

___

  • 1. Swerdlow M. Mesothelioma of the pelvic peritoneum resembling papillary cyst adenocarcinoma of theovary. Case report. Am J Obstet Gynecol 1959;77:197-200.
  • 2. Halperin R, Zehavi S, Langer R, et al. Primary peritoneal serous papillary carcinoma: a new epidemiologic trend? A matched-case comparison with ovarian serous papillary cancer. Int J Gynecol Cancer 2001;11:403-8.
  • 3. Shah IA, Jayram L, Gani OS, et al. Papillary serous carcinoma of the peritoneum in a man: a case report. Cancer 1998;82:860-6.
  • 4. Shmueli E, Leider-Trejo L, Schwartz I, et al. Primary papillary serous carcinoma of the peritoneum in a man. Ann Oncol 2001;12:563-7.
  • 5. Steinhagen PR, Sehouli J. The involvement of retroperitoneal lymph nodes in primary serous-papillary peritoneal carcinoma. A systematic review of the literature. Anticancer Res 2011;31:1387-94.
  • 6. Kannerstein M, Churg J, McCaughey WT, Hill DP. Papillary tumour of the peritoneum in women: mesothelioma or Papillarycarcinoma. Am J Obstet Gynecol 1977;127:306-14.
  • 7. Lauchlan SC. The second mullerian system. Obstet Gynecol Surv 1972;27:133-46.
  • 8. Bloss JD, Liao SY, Buller RE, et al. Extraovarian peritoneal serous papillary carcinoma: a case-control retrospective comparison to papillary adenocarcinoma of the ovary. Gynecol Oncol 1993;50:347-51.
  • 9. Chiou SY, Sheu MH, Wang JH, Chang CY. Peritoneal serous papillary carcinoma: a reappraisal of CT imaging features and literature review. Abdom Imaging 2003;28:815-9.
  • 10. Morita H, Aoki J, Taketomi A, et al. Serous surface papillary carcinoma of the peritoneum: clinical, radiologic and pathologic findings in 11 patients. Am J Roentgenol 2004;183:923-8.
  • 11. Voultsinos V, Semelka RC, Elias J Jr, et al. Primary peritoneal carcinoma: computed tomography and magnetic resonance findings. J Comput Assist Tomogr 2008;32:541-7.
  • 12. Chand M, Moore PJ, Clarke AD, et al. A diagnostic dilemma following risk-reducing surgery for BRCA1 mutation-a casereport of primary papillary serous carcinoma presenting as sigmoid cancer. World J Surg Oncol 2007;5:102.
  • 13. Kim HS, Sung JY, Park WS, et al. Primary peritoneal serous papillary carcinoma presenting as a single colonic mass without peritoneal dissemination. Intern Med 2013;52:227-32.
  • 14. Tran TA, Holloway RW. Primary peritoneal low-grade serous carcinoma forming a mass in the colon mimicking a colonic primary carcinoma: a case report. Eur J Gynaecol Oncol 2013;34:86-9.
  • 15. Eisenberg RL. Thickening of small bowel folds. AJR Am J Roentgenol 2009;193:W1-6.
  • 16. Pentheroudakis G, Pavlidis N. Serous papillary peritoneal carcinoma: Unknown primary tumour, ovarian cancer counterpart or a distinct entity? A systematic review. Crit Rev Oncol Hematol 2010;75:27-42.
Akademik Gastroenteroloji Dergisi-Cover
  • ISSN: 1303-6629
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2002
  • Yayıncı: Jülide Gülay Özler