malignant ascites

Excess peritoneal fluid evoked by malignancy, which causes subdiaphragmatic lymphatic obstruction (e.g., of the thoracic duct) and increased intraperitoneal fluid production.
Clinical findings
Abdominal distension, weight gain, indigestion, dyspnea, orthopnea, tachypnoea, intestinal obstruction with nausea, vomiting.

Aetiology
Ovarian, breast, gastric, pancreatic, hepatic, and colorectal carcinomas, lymphoma, mesothelioma.

DiffDx
Tuberculosis, congestive heart failure, nephrotic syndrome, hepatic disease, bacterial peritonitis, malnutrition (due to hypoalbuminemia).

Management
Drainage of fluid, intraperitoneal chemotherapy, antibiotics, radioactive colloids, biological response modifiers (e.g., IL-2, alpha-IFN, external-beam radiation therapy), and surgical placement of LeVeen or Denver shunts.

Prognosis
Poor.

malignant ascites

Excess peritoneal fluid evoked by malignancy, which causes subdiaphragmatic lymphatic obstruction–eg, of the thoracic duct and ↑ intraperitoneal fluid production Etiology Ovarian, breast, gastric, pancreatic, hepatic, colorectal CA, lymphoma, mesothelioma Clinical Abdominal distension, weight gain, indigestion, dyspnea, orthopnea, tachypnea, intestinal obstruction with N&V Imaging Ground glass appearance, central positioning of small bowel loops, and obscured psoas sign on plain abdominal films; MA is confirmed with ultrasonography, CT, and MRI DiffDx TB, CHF, nephrotic syndrome, hepatic disease, bacterial peritonitis, malnutrition–due to hypoalbuminemia Management Drainage of fluid; intraperitoneal chemotherapy, antibiotics, radioactive colloids, biological response modifiers–eg, IL-2, α-IFN, external-beam RT, and surgical placement of LeVeen or Denver shunts Prognosis Poor

单词	malignant ascites
释义	malignant ascites malignant ascites Excess peritoneal fluid evoked by malignancy, which causes subdiaphragmatic lymphatic obstruction (e.g., of the thoracic duct) and increased intraperitoneal fluid production. Clinical findings Abdominal distension, weight gain, indigestion, dyspnea, orthopnea, tachypnoea, intestinal obstruction with nausea, vomiting. Aetiology Ovarian, breast, gastric, pancreatic, hepatic, and colorectal carcinomas, lymphoma, mesothelioma. DiffDx Tuberculosis, congestive heart failure, nephrotic syndrome, hepatic disease, bacterial peritonitis, malnutrition (due to hypoalbuminemia). Management Drainage of fluid, intraperitoneal chemotherapy, antibiotics, radioactive colloids, biological response modifiers (e.g., IL-2, alpha-IFN, external-beam radiation therapy), and surgical placement of LeVeen or Denver shunts. Prognosis Poor. malignant ascites Excess peritoneal fluid evoked by malignancy, which causes subdiaphragmatic lymphatic obstruction–eg, of the thoracic duct and ↑ intraperitoneal fluid production Etiology Ovarian, breast, gastric, pancreatic, hepatic, colorectal CA, lymphoma, mesothelioma Clinical Abdominal distension, weight gain, indigestion, dyspnea, orthopnea, tachypnea, intestinal obstruction with N&V Imaging Ground glass appearance, central positioning of small bowel loops, and obscured psoas sign on plain abdominal films; MA is confirmed with ultrasonography, CT, and MRI DiffDx TB, CHF, nephrotic syndrome, hepatic disease, bacterial peritonitis, malnutrition–due to hypoalbuminemia Management Drainage of fluid; intraperitoneal chemotherapy, antibiotics, radioactive colloids, biological response modifiers–eg, IL-2, α-IFN, external-beam RT, and surgical placement of LeVeen or Denver shunts Prognosis Poor
随便看	periapts periaqueductal periaqueductal gray including the nucleus raphe dorsalis periaqueductal gray substance periareion periarterial periarterial lymphatic sheath periarterial lymphoid sheath periarterial (nerve) plexus periarterial nerve plexus periarterial pad periarterial plexus periarterial plexuses of coronary arteries periarterial plexus of anterior cerebral artery periarterial plexus of ascending pharyngeal artery periarterial plexus of choroid artery periarterial plexus of facial artery periarterial plexus of inferior phrenic artery periarterial plexus of inferior thyroid artery periarterial plexus of internal thoracic artery periarterial plexus of lingual artery periarterial plexus of maxillary artery periarterial plexus of middle cerebral artery periarterial plexus of occipital artery periarterial plexus of ophthalmic artery