Primary Peritoneal Carcinosarcoma With Metastasis to the Umbilicus and Pancreas

A 51-year-old woman visited our hospital after being diagnosed with ascites effusion by her previous physician due to weight gain for 6 months. Ascites cytology showed adenocarcinoma, MRI showed an omental cake, and CT showed neoplastic lesions in the umbilicus and pancreas. Laparoscopy revealed tha...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2022-01, Vol.14 (1), p.e21309
Main Authors: Tanabe, Shohei, Sugino, Sachiyo, Ichida, Kotaro, Niiya, Kiyoshi, Morishima, Syuji
Format: Article
Language:English
Subjects:
Biopsy
Breast cancer
Cancer therapies
Case reports
Chemotherapy
Cytokeratin
Fallopian tubes
Gastric cancer
Hospitals
Intestinal obstruction
Laparoscopy
Metastasis
Obstetrics/Gynecology
Oncology
Ovarian cancer
Pancreatic cancer
Pathology
Small intestine
Surgery
Tumor necrosis factor-TNF
Tumors
Uterus
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Summary:A 51-year-old woman visited our hospital after being diagnosed with ascites effusion by her previous physician due to weight gain for 6 months. Ascites cytology showed adenocarcinoma, MRI showed an omental cake, and CT showed neoplastic lesions in the umbilicus and pancreas. Laparoscopy revealed that the omentum had been replaced by a tumor. Biopsies of the omentum and umbilicus revealed a carcinosarcoma. Treatment with paclitaxel and carboplatin was unsuccessful, and the patient's general condition deteriorated, leading to her demise. Pathological autopsy revealed carcinosarcoma of peritoneal origin metastasizing to the umbilicus and tail of the pancreas. No tumors were found in the uterus, ovaries, or fallopian tubes.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.21309