Primary peritoneal carcinoma presenting as adenocarcinoma on a Pap smear. A case report. J Reprod Med 2002 Nov;47(11):933-5
Date
12/25/2002Pubmed ID
12497684Scopus ID
2-s2.0-0036856937 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
BACKGROUND: Primary peritoneal carcinoma is an uncommon malignancy that usually presents with gastrointestinal symptoms from abdominal carcinomatosis.
CASE: A postmenopausal woman presented with vaginal bleeding and adenocarcinoma cells on a Pap smear. Colposcopy, endocervical and endometrial curettage, mammography, colonoscopy and pelvic ultrasound were all normal. Computed tomography revealed a large omental cake and ascites, and the CA-125 level was elevated, 2,907 IU/mL. Exploratory laparotomy revealed a primary peritoneal carcinoma with abdominal carcinomatosis.
CONCLUSION: Primary peritoneal carcinoma should be considered in the differential diagnosis of adenocarcinoma cells arising on a Pap smear in the absence of cervical and endometrial cancer.
Author List
Wright JD, Horowitz NS, Rader JSAuthor
Janet Sue Rader MD Chair, Professor in the Obstetrics and Gynecology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AscitesCA-125 Antigen
Colposcopy
Cystadenocarcinoma, Papillary
Diagnosis, Differential
Female
Humans
Laparoscopy
Middle Aged
Omentum
Papanicolaou Test
Peritoneal Neoplasms
Postmenopause
Tomography, X-Ray Computed
Uterine Hemorrhage
Vaginal Smears
