FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 355:1071-1072 September 7, 2006 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

To the Editor: A 26-year-old woman had had abdominal pain since the beginning of her pregnancy. Endoscopy of the esophagus, stomach, and duodenum and abdominal ultrasonography showed only gastroesophageal reflux. Two months later, physical examination revealed a palpable left supraclavicular lymph node and hepatomegaly. Repeated abdominal ultrasonography showed multiple hepatic metastases.

The patient underwent an exploratory laparotomy during the 34th week of gestation, during which her baby was delivered by cesarean section; the infant was subsequently admitted to the neonatology unit. During the surgery, no primary tumor was identified. Hepatic biopsy showed a metastatic, well-differentiated mucinous adenocarcinoma. Mammography, breast ultrasonography, . . . [Full Text of this Article]

This article has been cited by other articles:

• Horlings, H. M., van Laar, R. K., Kerst, J.-M., Helgason, H. H., Wesseling, J., van der Hoeven, J. J.M., Warmoes, M. O., Floore, A., Witteveen, A., Lahti-Domenici, J., Glas, A. M., Van't Veer, L. J., de Jong, D. (2008). Gene Expression Profiling to Identify the Histogenetic Origin of Metastatic Adenocarcinomas of Unknown Primary. JCO 26: 4435-4441 [Abstract] [Full Text]