[Pseudomyxoma peritonei secondary to cystadenocarcinoma on the cecal appendix. Clinical case].
We report a 40 years old female that presented with an ovarian tumor and ascites. The exploratory laparotomy revealed a mucocele of the appendix that was informed as a cystadenoma of the appendix in the fast biopsy. The definitive pathological diagnosis, a cystadenocarcinoma of the appendix, motivated a second intervention, performing a right hemicolectomy, left adnexectomy and omentumectomy. Three years later she presented with an abdominal mass and was subjected to a total hysterectomy and right adnexectomy. The pathological diagnosis was a mucinous cystadenocarcinoma with peritoneal involvement. The patient completed five years of follow up since the first intervention and is free of tumor. Pseudomyxome peritoneai generally is a tumor of ovarian origin, followed by the appendix. Surgical treatment must include the excision of neighboring compromised organs. The follow up must be lengthy considering the possibility of late recurrences.
Melo
C
C
Departamento de Cirugía, Facultad de Medicina (Campus Central), Universidad de Chile, Hospital Clínico San Borja Arriarán, Santiago.
Bannura
G
G
Covacevich
S
S
D000328:Adult; D001063:Appendiceal Neoplasms / Q000473:pathology* / Q000601:surgery; D018282:Cystadenocarcinoma, Mucinous / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D010534:Peritoneal Neoplasms / Q000556:secondary*; D011553:Pseudomyxoma Peritonei
Pseudomixoma peritoneal secundario a cistoadenocarcinoma del apéndice cecal. Caso clínico.