Primary peritoneal carcinoma: a treatable subset of patients with adenocarcinoma of unknown primary

The Australian and New Zealand Journal of Surgery
S A Della-FiorentinaP R Harnett

Abstract

The syndrome of adenocarcinoma of unknown primary (ACUP) is a frequent problem in both medical and surgical practice. The prognosis is poor, the median lifespan being 4 months. In general, multiple invasive procedures aimed at determining the primary tumour are not warranted due to the low frequency of detecting a tumour for which adequate treatment exists. In this paper we wish to highlight a subset of female patients presenting with malignant ascites and no evidence of a pelvic mass, who on laparotomy were found to have primary peritoneal papillary serous adenocarcinoma. These tumours must be regarded as a potentially treatable subset of patients with ACUP in view of their frequent response to chemotherapy and relatively good prognosis.

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Citations

Nov 25, 2005·The British Journal of Radiology·J A Spencer
Oct 29, 2010·Nature Reviews. Clinical Oncology·John A SpencerGeoffrey D Hall

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