Extreme Leukocytosis and Gangrenous Cholecystitis Associated with Cytoreductive Surgery and HIPEC-Treated Mucinos Ovary Cancer: Case Report and Literature Review

Author:

Latincic Stojan1,Pavlov Maja1,Vasiljevic Jovica1ORCID,Vasin Dragan2ORCID,Dimic-Cumic Maja1,Micev Marjan1,Papovic Milena1,Doskovic Miljan1,Bugarin Stefan1,Milosevic Stefan1,Kecmanovic Dragutin1

Affiliation:

1. Clinic for Digestive Surgery—First Surgical Clinic, University Clinical Centre of Belgrade, Koste Todorovica 6, 11000 Belgrade, Serbia

2. Emergency Department, University Clinical Centre of Serbia, Pasterova 2, 11000 Begrade, Serbia

Abstract

Mucinous ovarian cancer occurs sporadically, with a frequency of approximately 3–5% among all subtypes of ovarian cancer. Extreme leukocytosis >40,000 and 50,000 has been described in most solid tumors and is associated with a poor prognosis, although there is a lack of literal data of its occurrence after cytoreductive surgery and HIPEC in the treatment of advanced mucinous ovarian cancer. There is higher risk of the occurrence of cholecystitis in oncology patients compared to the general population, although there is no formal evidence for this, and the association with ovarian cancer is accompanied by a relative risk of 1.38. Hypercalcemia-hyperleukocytosis is a syndrome associated with head and neck cancers, although, to our knowledge, it has not been described in mucinous ovarian cancer, especially after cytoreductive surgery and HIPEC.

Publisher

MDPI AG

Subject

General Medicine

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