Ovarian cancer quora

Ovarian cancer quora

Citate duplicat It is important to distinguish between primary ovarian cancer and metastatic tumors in the ovary because their management is different, in terms of treatment and follow-up.

We report the perioperative management of a year-old female patient with bilateral Krukenberg tumors. Este important să se facă distincţia între cancerul ovarian primar şi tumorile ovarian cancer quora ale ovarului, deoarece managementul lor este diferit în ceea ce priveşte tratamentul şi ovarian cancer quora.

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Raportăm managementul perioperator al unei paciente de 40 de ani, cu tumori bilaterale Krukenberg. Cuvinte ovarian cancer quora tumora Krukenberg cancer gastric imunohistochimie Introduction Gastric cancer by age tumors comprise a heterogeneous group of lesions, displaying distinct tumor pathology and oncogenic potential gastric cancer by age being subclassified into several categories based on two criteria: the degree of epithelial proliferation and invasion and the histotype of the epithelium composing the tumors 1.

Perioperative management of a patient with Krukenberg tumor - a case ovarian cancer quora In particular, Krukenberg tumors are represented by metastases of mucin-secreting signet ovarian cancer quora cell cancer, arising primarily from the gastric carcinoma, to ovarian tissues 2.

The clinical presentation of Krukenberg tumors includes abdominal or pelvic pain, bloating, warts on hands caused by, unexplained lethargy, irregular period and pain during sexual intercourse.

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Krukenberg tumors can occasionally provoke a reaction of the ovarian stroma which leads to hormone production, that results in gastric cancer by age bleeding, a change in menstrual habits, hirsutism, or epidemiologia giardiozei virilization as a main symptom 5,6. Regarding the paraclinical diagnostic, most imaging features are non-specific, consisting of predominantly solid components or a mixture of cystic and solid areas; typically, those tumors are described sonographically as bilateral ovarian masses, with an irregular hyperechoic solid pattern, with clear well defined margins and moth-eaten cyst formation 7.

Deep invasion, lymph node involvement, and peritoneal metastasis are more frequent in gastric SRCC compared with other subtypes of gastric cancer, so the prognosis of Krukenberg tumor is reticent 9.

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Case report We report the case of a year-old female patient, without a significant pathological personal history, who has been admitted two months ovarian cancer quora in the Department of Gynecology of a regional hospital, accusing pelvic pain and dysfunctional menstrual cycles. She was diagnosed with bilateral ovarian cysts for which reevaluation was recommended.

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About 3 weeks ago, the patient was referred to the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest for an interdisciplinary consultation.

The transvaginal ultrasound showed two non-homogeneous tumors, predominantly with a tissue aspect, alternating with hypo-echogenic areas and zones of intratumoral necrosis, without capsular breakage; uterus of normal size and echogenity, evidence of fluid within the pouch of Douglas 10 mm.

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CA tumor markers were recommended. The local clinical gastric cancer by age revealed normal non-specific vaginosis for which the patient received antibiotic and antiinflammatory treatment for 7 days.

When reevaluating, the patient showed discrete relief of symptoms, with persistence of pelvic pain, and accusing meteorism.

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The patient was admitted in the hospital for reevaluation and for establishing the therapeutic conduct. Traducere "de apariţie" în engleză We performed a new transvaginal ultrasound which indicated the same aspects, except for increased peritoneal fluid 30 mm in the recto-uterine pounch - Figure 1 and Figure 2. Figure 1. Tumoral transformation of the right ovary; non-homogenous structure, predominantly tisular Figure 2.

Se utilizează la pacienţii care au un risc crescut de apariţie a SM.

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Figure 3. CT of thorax - note the lack of pulmonary metastases Figure 4. Managementul perioperator al unui pacient cu tumoră Krukenberg - studiu de caz CT of pelvis - note the presence of bilateral ovarian tumors with predominant tisular and The general condition of the patient deteriorated, with the occurrence of vomiting and pain in the right hypochondria and the epigastrium.

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General surgery consultation was requested to exclude a sub-occlusive syndrome, followed by upper endoscopy which showed a normal aspect, gastric cancer by age the exception of enlarged folds in the vertical portion of the stomach, but which distended fully under insufflation.

The hematology consult confirmed the diagnosis of gastric cancer by age of possibly paraneoplastic etiology.

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We decided to improve the coagulopathy by the administration of fresh frozen plasma. Under general anesthesia, an exploratory laparotomy was performed see Figure 5. We detected peritoneal carcinomatosis with infra-centimetric disseminations on the epiploon and mesentery. We also observed free peritoneal fluid in a small amount and multiple liver metastases with various sizes cm.

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Figure 5. Intraoperative images. The postoperative evolution was favorable with the improvement of genital symptomatology; the patient was discharged after 5 days and gastric cancer by age was guided to the Oncology Department to follow the specialized treatment after receiving the final histopathological result.

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After 4 days she returned to the Emergency Room for epigastric pain, vomiting, intense meteorism and absent intestinal transit. An abdominal radiography was performed which showed hydroaeric levels.

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Managementul perioperator al unui pacient ovarian cancer quora tumoră Krukenberg - studiu de caz The patient was admitted in the Department of General Surgery with the diagnosis of occlusive syndrome. A gastric cancer by age reintervention in a multidisciplinary team was performed.

Intraoperatively, we found an early adherence ovarian cancer quora. After an extensive histopathological analysis which included multiple immunohistochemistry tests, the diagnosis of Krukenberg tumors was established Figure 6.

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