A case of ovarian serous adenofibroma that suggested ovarian carcinoma in washing cytology of total gastrectomy
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<B><I>Background</I>: </B>A patient of stage N gastric cancer in whom cytological examination of the operative washings revealed papillary clusters of tumor cells with many psammoma bodies is presented.<BR><B><I>Case</I>: </B>A 59-year-old woman with stage IV gastric cancer underwent total gastrectomy. Presence of an ovarian tumor was suspected basedon findings on intraoperative cytology. One month after the initial operation, total hysterectomy and bilateral salpingo-oophorectomy were performed. Cytology of the intraoperative washings showed papillary clusters of tumor cells with minimal cellular atypia and numerous psam moma bodies, suggestive of serous papillary adenocarcinoma. Histologi cally, the resected ovaries showed the features of serous fibroadenoma with psammoma bodies. Psammoma bodies were also detected in the serosa of the sigmoid colon, pouch of Douglas, fallopian tubes and uter ine cervix.<BR><B><I>Conclusion</I>: </B>In general, when clusters of epithelial cells are found on cytological examination of intraoperative washings, the cells must be sus bected as originating from metastatic lesions of other primary tumors. However, the possibility of the cells originating from benign ovarian tumors should also be borne in mind.
- 特定非営利活動法人 日本臨床細胞学会の論文
特定非営利活動法人 日本臨床細胞学会 | 論文
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