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European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Extraovarian peritoneal serous papillary carcinoma mimicking colonic obstruction
T. Theodosopoulos1,*, A. Marinis1, A. Yiallourou1, N. Dafnios1, A. Kondi-Pafiti2, I. Vassiliou1, V. Smyrniotis1, K. Karapanos1
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1
Second Department of Surgery, Areteion University Hospital, Athens Medical School, Athens
2
Department of Pathology, Areteion University Hospital, Athens Medical School, Athens (Greece)
Eur. J. Gynaecol. Oncol. 2008, 29(5), 502–504;
Published: 10 October 2008
Abstract
Involvement of the colon by extraovarian peritoneal serous papillary carcinoma (EPSPC) is considered as rare. During a 10-year period the records of five female patients with a mean age of 73.4 years who were admitted for colonic obstruction due to EPSPC were reviewed. Preoperative and postoperative data were studied. All patients presented with symptoms of colonic obstruction and high concentrations of CA-125. Involvement of the sigmoid colon was demonstrated preoperatively both in CT and colonoscopy. Operative findings of multiple peritoneal implantations involving the surface of the ovaries in two cases, the greater omentum in three cases and invasion of the sigmoid colon in all cases prompted us to perform sigmoidectomy and omentectomy in all cases with bilateral salpingo-oophorectomy in four of them. All patients received adjuvant paclitaxel plus platinum-based combination chemotherapy.
Keywords
Extraovarian peritoneal serous papillary carcinoma
Staging
Surgery
Chemotherapy