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Peritoneal Keratin Granulomatosis Associated with Endometrioid Adenocarcinoma of the Uterine Corpus in a Woman with Polycystic Ovaries: A Potential Pitfall—A Case Report and Review of the Literature
Joint Authors
Trihia, Helen J.
Novkovic, Natasa
Papatheodorou, D. C.
Papazian, Maria
Provatas, John
Tsangouri, Sotiria
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-19
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Peritoneal keratin granulomatosis is a rare condition included under granulomatous lesions of the peritoneum.
It can be secondary to neoplasms of the female genital tract and can mimic carcinomatosis intraoperatively.
A case of a 40-year-old woman with a history of polycystic ovaries and a chief complaint of vaginal bleeding is presented.
She was diagnosed with endometrioid adenocarcinoma with squamous differentiation in endometrial curettings.
Intraoperatively, many peritoneal nodules were found, interpreted as peritoneal carcinomatosis.
The woman underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy, omentectomy, bilateral pelvic lymphadenectomy, and appendicectomy.
Multiple biopsies were taken, as well as peritoneal washings.
Microscopic examination revealed multiple keratin granulomas on the serosal surface of the ovaries, fallopian tubes, appendix, and omentum.
Lymph node metastasis was not found.
Peritoneal keratin granulomas (PKGs) have been reported in cases of endometrioid adenocarcinoma with squamous differentiation of the uterine corpus, ovary, and atypical adenomyoma.
It should be noted that the prognosis of cases of peritoneal keratin granulomas without viable tumor cells is favourable and that the histologic examination is essential for its diagnosis.
We report a case of PKG in a patient with endometrial carcinoma with squamous differentiation, being the first in a woman with polycystic ovaries.
American Psychological Association (APA)
Trihia, Helen J.& Papazian, Maria& Novkovic, Natasa& Provatas, John& Tsangouri, Sotiria& Papatheodorou, D. C.. 2017. Peritoneal Keratin Granulomatosis Associated with Endometrioid Adenocarcinoma of the Uterine Corpus in a Woman with Polycystic Ovaries: A Potential Pitfall—A Case Report and Review of the Literature. Case Reports in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1147287
Modern Language Association (MLA)
Trihia, Helen J.…[et al.]. Peritoneal Keratin Granulomatosis Associated with Endometrioid Adenocarcinoma of the Uterine Corpus in a Woman with Polycystic Ovaries: A Potential Pitfall—A Case Report and Review of the Literature. Case Reports in Obstetrics and Gynecology No. 2017 (2017), pp.1-6.
https://search.emarefa.net/detail/BIM-1147287
American Medical Association (AMA)
Trihia, Helen J.& Papazian, Maria& Novkovic, Natasa& Provatas, John& Tsangouri, Sotiria& Papatheodorou, D. C.. Peritoneal Keratin Granulomatosis Associated with Endometrioid Adenocarcinoma of the Uterine Corpus in a Woman with Polycystic Ovaries: A Potential Pitfall—A Case Report and Review of the Literature. Case Reports in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-6.
https://search.emarefa.net/detail/BIM-1147287
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147287