2008, Number 582
Carcinomatosis peritoneal en un paciente con cáncer gástrico Borman III y Ascitis
Barrantes LC, Banard CM, Maitland RR
Language: Spanish
References: 13
Page: 73-76
PDF size: 89.49 Kb.
ABSTRACT
Gastric cancer is one of the ilInesses that cause the most number of death around the world, due to malignant tumour. The dump continues to be the most common localization, eventhough, a significant increase of cardias injuries can be observed. Rectal cancer is the most frequent tumor of the digestive tract. Primary tumours such as peritoneum and the peritoneal carcinomatosis or local interabdominal dissemination, are tumours of diverse origins and they normally show up through a variable of clinical manifestations, or of very difficult terapeutic control, usually related to a fatal prognosis or condition. It is likewise common to see metastasis appear in the patients peritoneal cavity, with carcinoma in the digestive system. This phenomenous takes place because of the liberation of malignant cells in the abdominal cavity, through the invation of the serous or during the manipulation of the organ by the surgeon during the surgical act. Clinic and anatomopathologic studies made to a male patient of 62 years, who entered the San Juan de Dios Hospital with an abdominal tumor, digestive symptoms, ascites, cervical adenopathy and collar bone discovered the following:- Computerized axial tomography, that evidence gastric tumour, ascitis and retroperitoneal lump, with 125 —Ca and a high amount of carcinogen antigen.
- Abdominal ultrasound test that reports nodule injuries in epigastric peritonium, nodular swellings of the mesentery and gastric swelling in both body and dump.
- Surgical pathology studies that reports an adenocarcinoma a bit different and o esophagastritisduodenoscopy, where it is possible to observe a mamal lump in the sub-cardial region.
REFERENCES
Glehen O, Kwiatkoski M, Sugarbaker PH, Elias D, Levine EA, Gilly FN, et al. Cytoreductive surgery combined with perioperative intraperitoneal chemotherapy for the management of peritoneal carcinomatosis from colorectal cancer. A multi-institutional study of 506 patients. J Clin Oncol 2004; 22 (3): 284-329.