Abstract
A 53-year-old woman who had end-stage renal disease and hypertension presented with back pain. Chest radiographs and chest computed tomography (CT) showed right pleural effusion with bilateral pleural masses. The patient underwent video-assisted thoracoscopic surgery (VATS) for a biopsy of the right pleural mass and for an evaluation of pleural effusion. A frozensection specimen suggested a papillary adenocarcinoma, which was confirmed to be metastatic primary papillary serous carcinoma of the peritoneum by immunohistochemistry, an elevated serum cancer antigen (CA-125) level, and abdominal CT findings. We found that the patient had been unfortunately misdiagnosed to have advanced colon cancer 11 years previously and thus had undergone a right hemicolectomy which was followed by six cycles of 5-fluorouracil chemotherapy. Despite this, she survived more than 10 years and was later correctly diagnosed by VATS of the pleural lesions and based on a review of the previous pathology. The patient was transferred to an oncologist to receive the proper chemotherapy with paclitaxel and carboplatin.
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Koutselini HA, Lazaris AC, Thomopoulou G, Papayannopoulou A, Kairi-Vasilatou E. Papillary serous carcinoma of peritoneum: case study and review of the literature on the differential diagnosis of malignant peritoneal tumors. Adv Clin Pathol 2001;5(3):99–104.
Cowan LJ, Roller JI, Connelly PJ, Nahhas WA. Extraovarian stage IV peritoneal serous papillary carcinoma presenting as an asymptomatic skin lesion: a case report and literature review. Gynecol Oncol 1995;57:433–435.
Nishimura M, Wakabayashi M, Hashimoto T, Shibata J, Ueyama H, Ebina M, et al. Papillary serous carcinoma of the peritoneum: analysis of clonality of peritoneal tumors. J Gastroenterol 2000; 35(7):570–572.
Look M, Chang D, Sugarbaker PH. Long-term results of cytoreductive surgery for advanced and recurrent epithelial ovarian cancers and papillary serous carcinoma of the peritoneum. Int J Gynecol Cancer 2003;13(6):764–770.
Shah IA, Jayram JL, Gani OS, Fox IS, Stanley TM. Papillary serous carcinoma of the peritoneum in a man: a case report. Cancer 1998;1;82(5):860–866.
Choi CH, Kim TJ, Kim WY, Ahn GH, Lee JW, Kim BG, et al. Papillary serous carcinoma in ovaries of normal size: a clinicopathologic study of 20 cases and comparison with extraovarian peritoneal papillary serous carcinoma. Gynecol Oncol 2007;105(3): 762–768.
Kaira K, Takise A, Endou K, Yanagitani N, Sunaga N, Mori M. A case of primary peritoneal serous papillary carcinoma initially presented by massive bilateral pleural effusions. Eur J Gynaecol Oncol 2006;27(2):197–199.
Salzberg M, Thurlimann B, Bonnefois H, Fink D, Rochlitz C, von Moos R, et al. Current concepts of treatment strategies in advanced or recurrent ovarian cancer. Oncology 2005;68(4–6):293–298.
Zissin R, Hertz M, Shapiro-Feinberg M, Bernheim J, Altaras M, Fishman A. Primary serous papillary carcinoma of the peritoneum: CT findings. Clin Radiol 2001;56(9):740–745.
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Suh, J.H., Kim, Y.H. & Chang, E.D. Primary papillary serous carcinoma of the peritoneum diagnosed by video-assisted thoracoscopic surgery: Report of a case. Surg Today 38, 743–746 (2008). https://doi.org/10.1007/s00595-007-3709-z
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DOI: https://doi.org/10.1007/s00595-007-3709-z