000			02574nam a22003497a 4500
008			191014s20192019 xxu||||| |||| 00| 0 eng d
022			_a2210-2612
024			_a10.1016/j.ijscr.2019.09.005 [doi]
024			_aS2210-2612(19)30504-8 [pii]
040			_aOvid MEDLINE(R)
099			_a31563667
245			_aPeritoneal carcinomatosis of unknown primary site may be an undiagnosed appendiceal adenocarcinoma. A case series.
251			_aInternational Journal of Surgery Case Reports. 63:65-68, 2019 Sep 18.
252			_aInt J Surg Case Rep. 63:65-68, 2019 Sep 18.
253			_aInternational journal of surgery case reports
260			_c2019
260			_fFY2020
265			_saheadofprint
266			_d2019-10-14
520			_aBACKGROUND: Peritoneal carcinomatosis is sometimes diagnosed by cytology or by biopsy, but routine radiologic and endoscopic workup may not reveal a primary site. This clinical condition is called adenocarcinoma of unknown primary site.
520			_aCONCLUSIONS: Peritoneal carcinomatosis of unknown primary site may be caused by an occult appendiceal adenocarcinoma. This error in diagnosis may lead to suboptimal treatment. Surgical exploration to visualize a normal appendix should occur prior to making a definitive diagnosis of peritoneal carcinomatosis of unknown primary site. Copyright (c) 2019 The Author(s). Published by Elsevier Ltd.. All rights reserved.
520			_aMETHODS: The clinical findings of two patients with adenocarcinoma of unknown primary site were presented and the implications for management of similar patients were suggested.
520			_aRESULTS: The patient had the diagnosis of adenocarcinoma of unknown primary site made when cancer was discovered at the time of umbilical hernia repair or laparoscopy. Radiologic and endoscopic tests were not definitive in providing the primary site for the malignancy. Exploratory laparotomy was performed which revealed an appendiceal mucinous adenocarcinoma as the cause of the peritoneal carcinomatosis. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (HIPEC) were used at the time of the exploratory laparotomy to treat the appendiceal adenocarcinoma with peritoneal metastases.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aWashington Cancer Institute
657			_aJournal Article
700			_aSugarbaker, Paul H
790			_aSugarbaker PH
856			_uhttps://dx.doi.org/10.1016/j.ijscr.2019.09.005 _zhttps://dx.doi.org/10.1016/j.ijscr.2019.09.005
942			_cART _dArticle
999			_c4651 _d4651