A case of advanced ovarian cancer upstaged on the bases of pleural washing cytology

We encountered a case of ovarian cancer that had positive pleural washing cytology diagnosed by thoracoscopy. A 65‐year‐old woman was referred to our hospital with a sensation of abdominal fullness. A whole‐body examination revealed a solid tumor of the ovary and accumulation of ascites. Neither ple...

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Published in:The journal of obstetrics and gynaecology research 2009-06, Vol.35 (3), p.588-592
Main Authors: Kobayashi, Yukari, Terauchi, Fumitoshi, Nishi, Hirotaka, Fujitou, Atsuya, Itou, Hiroe, Isaka, Keiichi
Format: Article
Language:English
Subjects:
advanced ovarian cancer
Aged
Cystadenocarcinoma, Papillary - pathology
Cystadenocarcinoma, Papillary - surgery
debulking surgery
Female
Humans
Lymph Node Excision
Magnetic Resonance Imaging
Neoplasm Staging
Ovarian Neoplasms - pathology
Ovarian Neoplasms - surgery
Pleura
pleural cytology
Pleural Effusion - pathology
surgical staging
Therapeutic Irrigation
Thoracoscopy
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Summary:We encountered a case of ovarian cancer that had positive pleural washing cytology diagnosed by thoracoscopy. A 65‐year‐old woman was referred to our hospital with a sensation of abdominal fullness. A whole‐body examination revealed a solid tumor of the ovary and accumulation of ascites. Neither pleural effusion nor lung metastasis was found at the time. Laparotomy showed extensive dissemination and we classified the stage as IIIc. As the diaphragm was thickened with dissemination, we tried to strip the diaphragm and used thoracoscopy to identify the thoracic area. No tumor or pleural effusion was detected. We performed pleural biopsy and pleural washing cytology. Finally, malignant cells were found in the pleural washing cytology. Pathological findings showed serous papillary adenocarcinoma of the ovary in this stage IV case. We suggest in this report that thoracoscopy is a useful method for making the correct surgical staging.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2008.00967.x