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- W2022321289 abstract "L’apparition de métastases ovariennes est un événement fréquent dans le cancer du sein, puisqu’il concerne environ une femme sur cinq atteintes de cette maladie. Il s’agit le plus souvent de lésions solides de petite taille, fréquemment bilatérales avec une nette prédominance du carcinome lobulaire infiltrant. La distinction avec une lésion primitive de l’ovaire, plus fréquente même dans ce contexte de cancer du sein, peut s’avérer difficile et nécessiter le recours à des colorations spéciales et à des marqueurs immunohistochimiques. Sur le plan clinique, les métastases ovariennes sont le plus souvent asymptomatiques sauf en cas de carcinose péritonéale. L’échographie endovaginale est l’examen de choix pour confirmer le diagnostic devant un tableau évocateur. Toutefois, même couplée au Doppler couleur, sa fiabilité dans le dépistage est discutable comme l’est aussi celle des marqueurs tumoraux comme le CA 125 et le CA 15-3. Le pronostic des métastases ovariennes est sombre et dépend essentiellement de la diffusion péritonéale de l’atteinte. Ovarian metastasis are frequently encountered during the course of breast cancer, concerning one woman in five among those suffering from the disease. These secondary ovarian lesions are usually small and bilateral with a non-cystic pattern and are more likely to be from primary infiltrating lobular carcinoma of the breast. Distinction between ovarian metastasis and primary ovarian cancer may sometimes be difficult and require immunohistochemical stains with various monoclonal antibodies. Primary ovarian cancer remains preponderant however, even in a woman with breast cancer. From a clinical point of view, ovarian metastasis are frequently unknown except in case of peritoneal dissemination. Trans-vaginal ultrasonography scan is the best examination when clinical signs give cause to suspect ovarian tumour. Although, systematic ultrasonography screening, as well as blood screening program using CA 125 and CA 15-3, should not be recommended because they lack sensibility and are too expensive. The development of ovarian metastasis during the course of a breast primary carcinoma is a negative prognostic factor with regards to the presence or absence of peritoneal dissemination." @default.
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- W2022321289 date "2001-04-01" @default.
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- W2022321289 title "Incidence, diagnostic et pronostic des métastases ovariennes du cancer du sein" @default.
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- W2022321289 doi "https://doi.org/10.1016/s1297-9589(01)00131-x" @default.
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