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3.
Cir Cir ; 82(4): 432-5, 2014.
Article in Spanish | MEDLINE | ID: mdl-25167355

ABSTRACT

BACKGROUND: Peritoneal gliomatosis is characterized by the presence of miliary implants of mature glia on the peritoneum of patients with ovarian teratomas, usually immature. CLINICAL CASE: We report the case of a woman operated on 5 years earlier due to a right mature ovarian teratoma. When she was operated on due to left ovarian tumor she presented a miliary glial dissemination in omentum and peritoneum. CONCLUSION: The association of peritoneal gliomatosis ovarian teratomas is rare. Although the primary treatment and patient monitoring is focused on the teratoma, control should be maintained of peritoneal implants because of the possibility of malignancy. We believe it would be beneficial to establish a protocol for monitoring these lesions.


ANTECEDENTES: la gliomatosis peritoneal se caracteriza por la existencia de implantes miliares de tejido glial diseminados dentro de la cavidad abdominal de pacientes con teratomas ováricos, generalmente inmaduros. Caso clínico: paciente femenina intervenida cinco años antes de un teratoma maduro del ovario derecho, que al ser operada de un tumor en el ovario izquierdo se encontró diseminación miliar de tejido glial en el epiplón y el peritoneo. CONCLUSIÓN: la asociación de gliomatosis peritoneal con teratomas ováricos es infrecuente y, aunque el tratamiento principal y seguimiento de los pacientes está enfocado al teratoma deben controlarse los implantes peritoneales, por la posibilidad de malignización. Consideramos que sería benéfico establecer un protocolo para el seguimiento de pacientes con estas lesiones.


Subject(s)
Glioma/secondary , Ovarian Neoplasms/pathology , Peritoneal Neoplasms/secondary , Teratoma/pathology , Adolescent , Antigens, CD/analysis , Antigens, Differentiation, Myelomonocytic/analysis , Biomarkers, Tumor/analysis , Cell Differentiation , Female , Glioma/chemistry , Glioma/surgery , Humans , Peritoneal Neoplasms/chemistry , Peritoneal Neoplasms/surgery , S100 Proteins/analysis , Vimentin/analysis
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