title: Appendicular mucinous adenocarcinoma associated with pseudomyxoma peritonei, a rare and difficult imaging diagnosis.
abstract: Pseudomyxoma peritonei (PMP) is a rare disease, caused by primary mucinous tumors that arise most frequently from appendix, ovary, or pancreas. Usually diagnosis is made by computed tomography, but ultrasonography can be a very useful imagistic method, if this diagnosis is taken into account by the observer. We present a case of a PMP caused by an appendiceal mucinous carcinoma, in a 34-year-old male patient, with family history of malignancies, diagnosed in our department. He was thereafter surgically treated - appendiceal resection, peritoneal lavage - followed by chemotherapy. We underline the importance of ultrasonography, even though at first encounter, the diagnosis of PMP being generally difficult.
authors.affiliation: 1st Medical Clinic, Gastroenterology Department, Emergency Clinical County Hospital, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania. romeochira@yahoo.com.
authors.forename: Romeo Ioan
authors.initials: RI
authors.lastname: Chira
authors.affiliation: Oncology Institute "Prof. Dr. Ion Chiricuţă", "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Codrut Cosmin
authors.initials: CC
authors.lastname: Nistor-Ciurba
authors.affiliation: 1st Medical Clinic, Gastroenterology Department, Emergency Clinical County Hospital, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Andreea
authors.initials: A
authors.lastname: Mociran
authors.affiliation: 1st Medical Clinic, Gastroenterology Department, Emergency Clinical County Hospital, "Iuliu Haţieganu" University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Petru Adrian
authors.initials: PA
authors.lastname: Mircea
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000000981:diagnostic imaging* / Q000473:pathology / Q000628:therapy; D000328:Adult; D001063:Appendiceal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D001065:Appendix / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary / Q000601:surgery; D011553:Pseudomyxoma Peritonei / Q000000981:diagnostic imaging* / Q000628:therapy; D035583:Rare Diseases; D014463:Ultrasonography