Unusual Presentation of Psammocarcinoma in Ovary: A Case Study
A rare case of psammocarcinoma involving the ovary and peritoneum, presenting as extensive peritoneal calcifications in a 65-year-old female. Despite initially being attributed as non-specific findings, the worsening calcifications prompted further investigation, leading to the diagnosis through CT-guided biopsy. Psammocarcinoma, a rare serous neoplasm, was identified, highlighting the importance of considering malignancy in cases of atypical peritoneal calcifications.
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Presentation Transcript
Unusual cause for peritoneal calcification DM Pai S Srinath Scunthorpe General Hospital North Lincolnshire
History Cholecystectomy was booked for 65 yr old female. Extensive peritoneal calcification was noted at surgery and the operation was abandoned. Patient had no other symptoms. Minor peritoneal calcification was noted in the CT scan performed 4 years earlier but was attributed as non-specific. The findings had worsened over 4 years on retrospective interrogation.
No past history of abdominal injury or haematoma Not on peritoneal dialysis and no h/o abdominal TB.
Dense calcification of the peritoneum in the anterior abdomen
CT guided biopsy of the peritoneal calcification was performed.
Psammoma carcinoma of the ovary with peritoneal metastases
Psammomacarcinoma ovary Psammomacarcinoma are rare serous neoplasm of ovary and peritoneum These contain psammoma bodies which give rise to the high density and hence appearances of calcification. These have favourable prognosis when compared with other ovarian malignancies. Peritoneal calcific lesions are usually due to benign conditions but when extensive should raise the possibility of psammomacarcinoma and hence biopsy is essential.
Learning point Apparent calcification of the pritoneum is not always benign or related to previous infections and dialysis. Biopsy will have to be considered as highlighted in this case.
