Pseudomyxoma peritonei occurring after an uneventful 23 years interval from appendectomy.
A 77-year-old male was admitted to our hospital for a bulky abdominal mass. He had a history of appendectomy under the diagnosis of appendiceal rupture 23 years previously. He also had received a radical lung resection for an early lung cancer 2 years earlier in another hospital. Tentative diagnosis of peritoneal metastases from the lung cancer was made. He then received 3 courses of chemotherapy, but failed to reach a remission. The final diagnosis of pseudomyxoma peritonei was made by means of abdominocentesis, and he underwent debulking surgery. However, he died on day 56 after the surgery. Pseudomyxoma peritonei requires careful observation, as it has the possibility to be detected after a long-term follow-up period of more than 20 years.
Taii
Atsuko
A
Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science. atsuko@koto.kpu-m.ac.jp
Sakagami
Junichi
J
Shinoda
Misumi
M
Taniguchi
Hiroya
H
Tosa
Masatoshi
M
Baba
Takehiko
T
Motoyoshi
Tomoko
T
Ito
Reiko
R
Mitsufuji
Shoji
S
Kataoka
Keisho
K
Okanoue
Takeshi
T
D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000473:pathology; D000368:Aged; D001062:Appendectomy / Q000009:adverse effects*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology; D008297:Male; D010534:Peritoneal Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011553:Pseudomyxoma Peritonei / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013997:Time Factors