Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer
Objective: Leiomyosarcoma and ovarian cancer are often diagnosed late due to the absence of initial symptoms. Patients seek help when abdominal distension occurs; this is associated with pelvic tumor and carcinomatosis. Initial imaging often reveals pelvic tumors with diffuse abdominal nodules; howe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-09-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455920301820 |
| _version_ | 1828932085244493824 |
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| author | Yu-Chien Lin Chi-Chun Liao Hung-Cheng Lai |
| author_facet | Yu-Chien Lin Chi-Chun Liao Hung-Cheng Lai |
| author_sort | Yu-Chien Lin |
| collection | DOAJ |
| description | Objective: Leiomyosarcoma and ovarian cancer are often diagnosed late due to the absence of initial symptoms. Patients seek help when abdominal distension occurs; this is associated with pelvic tumor and carcinomatosis. Initial imaging often reveals pelvic tumors with diffuse abdominal nodules; however, this imaging could be misleading, such as in the cases of splenosis. Case report: A female presented with vaginal bleeding at our outpatient department. Serum CA125 level was elevated. Abdominal and pelvic CT showed multiple uterine masses and left adnexal cysts with peritoneal nodules. Leiomyosarcoma or ovarian cancer with carcinomatosis was suspected. Exploratory laparotomy was performed. Multiple purple spots spreading over peritoneal cavity were noted during the surgery. Pathological examination revealed adenomyosis with multiple uterine myomas and left ovarian endometrioma. Splenic tissues peritoneal implants were observed. Conclusion: In patients with a history of spleen rupture or splenectomy, splenosis should be considered in the differential diagnosis, especially in young patients. |
| first_indexed | 2024-12-14T00:56:51Z |
| format | Article |
| id | doaj.art-ccf7fc232ad1457ebc1f88d9fb103fa4 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-14T00:56:51Z |
| publishDate | 2020-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-ccf7fc232ad1457ebc1f88d9fb103fa42022-12-21T23:23:31ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592020-09-01595773776Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancerYu-Chien Lin0Chi-Chun Liao1Hung-Cheng Lai2Department of Obstetrics and Gynecology, Shuang Ho Hospital, Taipei Medical University, New Taipei, TaiwanDepartment of Obstetrics and Gynecology, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan; Corresponding author.Department of Obstetrics and Gynecology, Shuang Ho Hospital, Taipei Medical University, New Taipei, Taiwan; Department of Obstetrics and Gynecology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, TaiwanObjective: Leiomyosarcoma and ovarian cancer are often diagnosed late due to the absence of initial symptoms. Patients seek help when abdominal distension occurs; this is associated with pelvic tumor and carcinomatosis. Initial imaging often reveals pelvic tumors with diffuse abdominal nodules; however, this imaging could be misleading, such as in the cases of splenosis. Case report: A female presented with vaginal bleeding at our outpatient department. Serum CA125 level was elevated. Abdominal and pelvic CT showed multiple uterine masses and left adnexal cysts with peritoneal nodules. Leiomyosarcoma or ovarian cancer with carcinomatosis was suspected. Exploratory laparotomy was performed. Multiple purple spots spreading over peritoneal cavity were noted during the surgery. Pathological examination revealed adenomyosis with multiple uterine myomas and left ovarian endometrioma. Splenic tissues peritoneal implants were observed. Conclusion: In patients with a history of spleen rupture or splenectomy, splenosis should be considered in the differential diagnosis, especially in young patients.http://www.sciencedirect.com/science/article/pii/S1028455920301820CarcinomaLeiomyosarcomaOvarian neoplasmsSplenosis |
| spellingShingle | Yu-Chien Lin Chi-Chun Liao Hung-Cheng Lai Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer Taiwanese Journal of Obstetrics & Gynecology Carcinoma Leiomyosarcoma Ovarian neoplasms Splenosis |
| title | Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer |
| title_full | Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer |
| title_fullStr | Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer |
| title_full_unstemmed | Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer |
| title_short | Intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer |
| title_sort | intraperitoneal splenosis mimics peritoneal carcinomatosis of leiomyosarcoma and ovarian cancer |
| topic | Carcinoma Leiomyosarcoma Ovarian neoplasms Splenosis |
| url | http://www.sciencedirect.com/science/article/pii/S1028455920301820 |
| work_keys_str_mv | AT yuchienlin intraperitonealsplenosismimicsperitonealcarcinomatosisofleiomyosarcomaandovariancancer AT chichunliao intraperitonealsplenosismimicsperitonealcarcinomatosisofleiomyosarcomaandovariancancer AT hungchenglai intraperitonealsplenosismimicsperitonealcarcinomatosisofleiomyosarcomaandovariancancer |