Abstract
As a peritoneal surface malignancy, primary peritoneal papillary serous carcinoma (PPPSC) almost always occurs in women. Our search of the literature found only two previous case reports of men with PPPSC, both with very short survival. We report the case of a 63-year-old man with PPPSC, treated effectively with cytoreductive surgery and docetaxel-based hyperthermic intraperitoneal chemotherapy following six cycles of docetaxel-based laparoscopic neoadjuvant intraperitoneal and cisplatin-based systemic chemotherapy. Furthermore, we detected intraoperative intraperitoneal spreading of the tumor after the oral administration of 5-amino levulinic acid (5-ALA). The patient remains in good health without ascites 18 months after his diagnosis. Thus, primary peritoneal papillary serous carcinoma should be managed by intraperitoneal chemotherapy combined with peritonectomy procedures. Moreover, the intraoperative detection of the intraperitoneal spreading of the tumor after administering oral 5-ALA shows that this is an exciting and promising diagnostic technique, which needs to be confirmed by further studies.
References
Muto MG, Welch WR, Mok SC, Bandera CA, Fishbaugh PM, Tsao SW, Lau CC, Goodman HM, Knapp RC, Berkowitz RS. Evidence for a multifocal origin of papillary serous carcinoma of the peritoneum. Cancer Res. 1995;55(3):490–2.
Levy AD, Arnaiz J, Shaw JC, Sobin LH. Primary peritoneal tumors: imaging features with pathologic correlation. Radiographics. 2008;28:583–607.
Schorge JO, Muto MG, Lee SJ, Huang LW, Welch WR, Bell DA, Keung EZ, Berkowitz RS, Mok SC. BRCA1-related papillary serous carcinoma of the peritoneum has a unique molecular pathogenesis. Cancer Res. 2000;60(5):1361–4.
Truong LD, Maccato ML, Awalt H, Cagle PT, Schwartz MR, Kaplan AL. Serous surface carcinoma of the peritoneum: a clinicopathologic study of 22 cases. Hum Pathol. 1990;21(1):99–110.
Shah IA, Jayram L, Gani OS, Fox IS, Stanley TM. Papillary serous carcinoma of the peritoneum in man. Cancer. 1998;82(5):860–6.
Shmueli E, Leider-Trejo L, Schwartz I, Aderka D, Inbar M. Primary papillary serous carcinoma of the peritoneum in a man. Ann Oncol. 2001;12:563–7.
Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J. New response evaluation criteria in solid tumors:revised RECIST guideline (version 1.1). Eur J Cancer. 2009;45:228–47.
Sugarbaker PH. Peritonectomy procedures. Ann Surg. 1995;221(1):29–429.
Swerdlow M. Mesothelioma of the pelvic peritoneum resembling papillary cystadenocarcinoma of the ovary. Am J obstet Gynecol. 1959;77:197–200.
Lauchlan SC. The secondary Mullerian system. Obstet Gynecol Surv. 1972;27(3):133–46.
Lavazzo C, Vorgias G, Katsoulis M, Kalinoglou N, Dertimas V, Akrivos T. Primary peritoneal serous papillary carcinoma: clinical and laboratory characteristics. Arch Gynecol Obstet. 2008;278(1):53–6.
Suh JH, Kim YH, Chang ED. Primary papillary serous carcinoma of the peritoneum diagnosed by video-assisted thoracoscopic surgery: report of a case. Surg Today. 2008;38(8):743–6.
Zhang C, Li XP, Cui H, Shen DH, Wei LH. Advanced primary peritoneal carcinoma: clinicopathological and prognostic factor analyses. J Zhejiang Univ Sci B. 2008;9(6):435–40.
Ajisaka H, Yonemura Y, Bando E, Fushida S, Nishimura G, Miwa K. Long-term survival of a patient with primary papillary serous carcinoma of the peritoneum treated by subtotal peritonectomy plus intraoperative chemohyperthermia. Hepatogastroenterology. 2002;49(46):1027–9.
Barnetson RJ, Burnett RA, Downie A, Harper CM, Roberts F. Immunohistochemical analysis of peritoneal mesothelioma and primary and secondary serous carcinoma of the peritoneum. Am J Clin Pathol. 2006;125:67–76.
Attanoos RL, Webb R, Dojcinov SD, Gibbs AR. Value of mesothelial and epithelial antibodies in distinguishing diffuse peritoneal mesothelioma in females from serous papillary carcinoma of the ovary and peritoneum. Histopathology. 2002;40:237–44.
Bloos JD, Brady MF, Liao SY, Roceroto T, Partridge EE, Clarke-Pearson DL, Gynecologic Oncology Group Study. Extraovarian peritoneal serous papillary carcinoma: a phase II trial of cisplatin and cyclophosphamide with comparison to a cohort with papillary serous ovarian carcinoma. Gynecol Oncol. 2003;89(1):148–54.
Piver MS, Eltabbakh GH, Hempling RE, Recio FO, Blumenson LE. Two sequential studies for primary peritoneal carcinoma: induction with weekly cisplatin followed by either cisplatin doxorubicin-cyclophosphamide or paclitaxel-cisplatin. Gynecol Oncol. 1997;67(2):141–6.
Bristow RE, Tomacruz RS, Armstrong DK, Trimble EL, Montz FJ. Survival effect of maximal cytoreductive surgery for advanced ovarian carcinoma during the platinum era: a meta-analysis. J Clin Oncol. 2002;20(5):1248–59.
Sugarbaker PH. Laboratory and clinical basis for hyperthermia as a component of intracavitary chemotherapy. Int J Hyperthermia. 2007;23:431–42.
Krammer B, Plaetzer K. ALA and its clinical impact, from bench to bedside. Photochem Photobiol Sci. 2008;7(3):283–9.
Stummer W, Pichlmeier U, Meinel T, Wiestler OD, Zanella F, ALA-Glioma Study Group. Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial. Lancet Oncol. 2006;7(5):392–401.
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Emel Canbay and his co-authors have no conflict of interest.
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Canbay, E., Ishibashi, H., Sako, S. et al. Photodynamic detection and management of intraperitoneal spreading of primary peritoneal papillary serous carcinoma in a man: report of a case. Surg Today 44, 373–377 (2014). https://doi.org/10.1007/s00595-013-0500-1
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DOI: https://doi.org/10.1007/s00595-013-0500-1