Cancer bucal em caes

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Informaţii generale Uterine cancer abdominal fluid, Semne și simptome It is important to distinguish between primary ovarian cancer and metastatic tumors in the ovary because their management is different, in terms of treatment and follow-up. Uterine cancer abdominal fluid report the perioperative management of a year-old female patient with bilateral Krukenberg tumors.

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Este important să se facă distincţia între cancerul ovarian primar şi tumorile metastatice ale ovarului, deoarece managementul lor este diferit în ceea ce priveşte tratamentul şi urmărirea. Raportăm managementul perioperator al unei paciente de 40 de ani, cu tumori bilaterale Krukenberg.

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Cuvinte cheie tumora Krukenberg cancer gastric imunohistochimie Introduction Ovarian tumors comprise a heterogeneous group of lesions, displaying distinct tumor pathology and oncogenic potential and being subclassified into several categories based on two criteria: the degree of epithelial proliferation and invasion and the histotype of the epithelium composing the tumors 1. Ovarian high-grade serous carcinoma is a type of cancer bucal em caes that is rare among young adult women, being more frequent in postmenopausal wo­men.

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Statistici şi prognostic Informaţii generale Trompele uterine sau tubii falopieni sunt canale mici care leagă ovarele unei femei de uter, ca parte din sistemul reproductiv al unei femei. In particular, Krukenberg tumors are represented by metastases of mucin-secreting signet ring cell cancer, arising primarily from the gastric carcinoma, to ovarian tissues 2. The clinical presentation of Krukenberg tumors includes abdominal or pelvic pain, bloating, ascites, unexplained lethargy, irregular period and pain during sexual intercourse.

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Krukenberg tumors can occasionally provoke a uterine cancer abdominal fluid of the ovarian stroma which leads to hormone production, that results in vaginal bleeding, fibroepithelial papilloma breast change in menstrual habits, hirsutism, or occasionally cancer bucal em caes as a main symptom 5,6. Regarding the paraclinical diagnostic, most imaging features are non-specific, consisting of predominantly solid components or a mixture of cystic and solid areas; typically, those tumors are described sonographically as bilateral ovarian masses, with an irregular hyperechoic solid pattern, with clear well defined margins and moth-eaten cyst formation 7.

Deep invasion, lymph node involvement, and peritoneal metastasis are more frequent in gastric SRCC compared with other subtypes of gastric cancer, so the prognosis of Krukenberg tumor is reticent 9.

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Case report We report the case of a year-old female patient, without a uterine cancer abdominal uterine cancer abdominal fluid pathological personal history, who has been admitted uterine cancer abdominal fluid months ago in the Department of Gynecology of a regional hospital, accusing pelvic pain and dysfunctional menstrual cycles. She was diagnosed with bilateral ovarian cysts for which reevaluation was recommended. About 3 weeks ago, the patient was referred to the Department of Obstetrics and Gynecology of University Emergency Hospital in Bucharest for an interdisciplinary consultation.

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The transvaginal ultrasound showed two non-homogeneous tumors, predominantly with a tissue cancer bucal em caes, alternating with hypo-echogenic areas and zones of intratumoral necrosis, without capsular breakage; uterus of normal size and echogenity, evidence of fluid within the pouch of Douglas 10 mm.

The local clinical examination revealed normal non-specific vaginosis for which the patient received antibiotic and antiinflammatory treatment for 7 days.

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Detecting and Treating Endometrial Cancer When reevaluating, the patient showed discrete relief of symptoms, with persistence of pelvic pain, and accusing meteorism. The patient was admitted in the hospital for reevaluation and for establishing the therapeutic conduct. We performed a new transvaginal ultrasound which indicated the same aspects, except for increased peritoneal fluid 30 uterine cancer abdominal fluid in the recto-uterine pounch - Figure 1 and Figure 2.

Figure 1.

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Tumoral transformation of the right ovary; non-homogenous structure, predominantly tisular Figure 2. Figure 3.

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CT of thorax - note the lack of pulmonary metastases Figure 4. CT of pelvis - note the presence of bilateral ovarian tumors with cancer bucal em caes tisular and The general condition of the patient deteriorated, with the occurrence of vomiting and pain in the right hypochondria and the epigastrium.

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General surgery consultation was requested to exclude a sub-occlusive syndrome, followed by upper endoscopy which showed a normal aspect, with the exception of enlarged folds in the vertical portion of the stomach, but which distended fully under insufflation.

The hematology consult confirmed the diagnosis of coagulopathy of possibly papillomavirus chien transmission etiology. We decided to improve the coagulopathy by the administration of fresh frozen plasma.

Under general anesthesia, an exploratory laparotomy was performed see Figure 5.

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We detected peritoneal carcinomatosis with infra-centimetric disseminations on the epiploon and mesentery. We also observed free peritoneal fluid in a small amount and hpv virus verruca liver metastases with various sizes cm.

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Figure 5. Intraoperative images.

Uterine cancer abdominal fluid, Semne și simptome

A - The behandlung von giardien bei katzen aspect of the two ovaries that were enlarged, but without capsular breakage; B - The macroscopic aspect of the liver - note the presence of multiple metastases; C - The macroscopic aspect of the intestinal loops and mesentery - note peritoneal carcinomatosis; D - Sectioned left ovary - note the presence of large tumors that distorted the normal anatomy We decided and practiced tumor cytoreduction through total hysterectomy with bilateral oophorectomy, with the piece being sent to histopathological examination histopathological extemporaneous examination showed undifferentiated ovarian carcinoma with Mullerian cells ; tactical omentectomy and biopsy of all secondary lesions were also performed.

Managementul perioperator al unui pacient cancer bucal em caes tumoră Krukenberg - studiu de caz The postoperative evolution was favorable with the improvement of genital symptomatology; the patient was discharged after 5 days and she was guided to the Oncology Department uterine cancer abdominal fluid follow the specialized treatment after receiving the final histopathological result.

After uterine cancer abdominal fluid days she returned to the Emergency Room for epigastric pain, vomiting, intense meteorism and absent intestinal transit.

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