PMID: 2496523Jan 1, 1989Paper

Bilateral massive ovarian oedema--report of a case due to lymphangiitis carcinomatosa

Virchows Archiv. A, Pathological Anatomy and Histopathology
S Y Wong

Abstract

A 40 year-old Caucasian woman, with clinical and radiological evidence of pulmonary lymphangiitis carcinomatosa presented with weight loss, productive cough and lower abdominal pain. At operation, she was found to have massive bilateral ovarian oedema. No abdominal primary tumour was found. A transbronchial biopsy showed extensive infiltration by a poorly differentiated, focally necrotic cribriform adenocarcinoma and there was extensive lymphatic permeation by this metastatic carcinoma in the stroma of the cervix uteri, myometrium, mesosalpinx, mesoovarii, surface of the ovaries, rectosigmoid colonic wall and peritoneal fat. The cut surface of the enlarged, soft and fluctuant ovaries oozed oedema fluid readily. Histologically, there was wide separation of the stromal cells by oedema in the ovaries which contained many dilated lymphatics. Compression and collagenization of the outer cortex was noted. The pathogenesis of the massive ovarian oedema was apparently due to neoplastic obstruction of the lymphatic system.

References

Jan 1, 1984·International Journal of Gynecological Pathology : Official Journal of the International Society of Gynecological Pathologists·R H Young, R E Scully
Nov 1, 1980·Obstetrical & Gynecological Survey·F A ChervenakA Sedlis
May 1, 1981·British Journal of Obstetrics and Gynaecology·A T AlberdaL Verschoor
Jun 1, 1981·American Journal of Obstetrics and Gynecology·J Abrams, G H Salazar
Jan 1, 1981·Virchows Archiv. A, Pathological Anatomy and Histology·G A SpinasJ Girard

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Citations

Feb 1, 1996·The Australian & New Zealand Journal of Obstetrics & Gynaecology·C TuranO Cobanoglu
Feb 1, 1997·The Australian & New Zealand Journal of Obstetrics & Gynaecology·S S FernandoF W Wong
Mar 7, 2006·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·W E Khalbuss, B Dipasquale
Jun 2, 2009·Journal de gynécologie, obstétrique et biologie de la reproduction·A BenhaddouC Hopfner

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