Journal Top Ten -- COLUMNS-Asbestos -- April 2006

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TITLE: "A case of Primary Peritoneal Serous Papillary Carcinoma Initially Presented by Massive Bilateral Pleural Effusions"

AUTHORS: Kaira K, Takise A, Endou K, Yanagitani N, Sunaga N, Mori M.

JOURNAL: European Journal of Gynaecological Oncology. 2006;27(2):197-9.

SUMMARY: Primary peritoneal serous papillary carcinoma (PSPC) is a rare primary peritoneal tumor. Clinically, PSPC usually presents with general abdominal discomfort resulting from variable amounts of ascites. In a state of small amounts of ascites, initial manifestation of massive bilateral pleural effusion is unusual. A 76-year-old female nonsmoker with no asbestos exposure complained of dyspnea during exercise. Chest radiograph showed …