Abstract:
BACKGROUND:Chylous ascites is an uncommon complication following para-aortic lymph node dissection in the management of gynecologic malignancies. Treatment options are serial paracentesis, medium-chain triglyceride diet, total parenteral nutrition and somatostatin as conservative management and peritoneovenous shunting, and surgical exploration for refractory cases. CASE:A 31-year-old female patient developed chylous ascites following para-aortic lymph node dissection for borderline mucinous tumor of the ovary. Conservative management options failed with recurrence of chylous ascites. Chylous ascites resolved after surgical closure of the lymphatic fistula on the cisterna chyli. There was no evidence of ascites at 10 months follow-up. CONCLUSION:If the patient is a good surgical candidate, surgical exploration should be considered earlier in the treatment of refractory chylous ascites.
journal_name
Gynecol Oncoljournal_title
Gynecologic oncologyauthors
Boran N,Cil AP,Tulunay G,Ozgul N,Kose MFdoi
10.1016/j.ygyno.2004.03.022subject
Has Abstractpub_date
2004-06-01 00:00:00pages
711-4issue
3eissn
0090-8258issn
1095-6859pii
S0090825804001933journal_volume
93pub_type
杂志文章abstract::This study was designed to compare the effectiveness of loop excision procedures as ablation and conization equivalents, and their use in recurrent cervical high-grade dysplasia patients. We retrospectively reviewed patients undergoing loop procedures between January 1992 and April 1994. Conization equivalents were de...
journal_title:Gynecologic oncology
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doi:10.1006/gyno.1996.0132
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journal_title:Gynecologic oncology
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abstract::From July 1975 through December 1985, 328 patients with ovarian malignancies were treated. Of these, 302 had epithelial invasive malignancies and constitute the study group. The impact of the operative procedure, findings, and subsequent treatment is evaluated. Patients who underwent extensive debulking procedures suc...
journal_title:Gynecologic oncology
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doi:10.1016/0090-8258(90)90277-r
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1006/gyno.1993.1202
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journal_title:Gynecologic oncology
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journal_title:Gynecologic oncology
pub_type: 杂志文章,评审
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更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ygyno.2019.09.015
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/0090-8258(88)90212-0
更新日期:1988-02-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/j.ygyno.2017.07.127
更新日期:2017-10-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/s0090-8258(03)00411-6
更新日期:2003-11-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/j.ygyno.2005.08.028
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/j.ygyno.2005.08.009
更新日期:2005-12-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/0090-8258(92)90074-s
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journal_title:Gynecologic oncology
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doi:10.1016/j.ygyno.2010.09.009
更新日期:2011-01-01 00:00:00
abstract::The steroid receptor content of the primary endometrial cancer of 22 patients who were treated for recurrent or advanced disease has been measured and correlated with response to medroxyprogesterone acetate. No patient with a progesterone receptor (PR)-negative tumor responded and only 2 patients with PR-positive tumo...
journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/0090-8258(85)90269-0
更新日期:1985-07-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2010-04-01 00:00:00
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journal_title:Gynecologic oncology
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doi:10.1016/j.ygyno.2020.07.004
更新日期:2020-10-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1016/j.ygyno.2009.03.010
更新日期:2009-07-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2020-09-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1006/gyno.1995.1098
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journal_title:Gynecologic oncology
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更新日期:2012-12-01 00:00:00
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journal_title:Gynecologic oncology
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doi:10.1016/j.ygyno.2014.04.011
更新日期:2014-07-01 00:00:00
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journal_title:Gynecologic oncology
pub_type: 杂志文章,评审
doi:10.1006/gyno.1993.1251
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journal_title:Gynecologic oncology
pub_type: 杂志文章
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journal_title:Gynecologic oncology
pub_type: 杂志文章
doi:10.1006/gyno.1993.1007
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