Pseudomyxoma peritonei - A revisit: Report of 2 cases and literature review

被引:17
作者
Li C. [1 ]
Kanthan R. [1 ]
Kanthan S.C. [2 ]
机构
[1] Department of Pathology, Royal University Hospital, Saskatoon, SK S7N 0W8, 103, Hospital Drive
[2] Department of Surgery, Royal University Hospital, Saskatoon, SK S7N 0W8, 103, Hospital Drive
关键词
Mucinous Neoplasm; Intraperitoneal Chemotherapy; Pseudomyxoma Peritonei; Mucinous Cystadenocarcinoma; Appendiceal Tumor;
D O I
10.1186/1477-7819-4-60
中图分类号
学科分类号
摘要
Background: Pseudomyxoma peritonei (PMP) is a rare, chronic, relapsing, diagnostically challenging and poorly understood disease characterized by disseminated mucinous ascites and peritoneal implants. Case presentation: We report two cases of PMP that represent the two biological variants of disseminated peritoneal adenomucinosis (DPAM) - the benign variant and the peritoneal mucinous carcinomatosis (PMCA) - the malignant variant, both of which were characterized by multiple relapses and progression of the disease despite aggressive management. Conclusion: Even with a better understanding and recent advances in the management of these cases, PMP remains an enigmatic disease with a protracted clinical course characterized by multiple recurrences despite surgery and/or chemotherapy. Recognition of PMP as a delayed consequence years later should alert all surgeons to be extremely vigilant when treating mucinous neoplasms of the appendix, with special care being directed towards adequate excision and thorough debridement at the initial diagnosis. © 2006 Li et al; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 22 条
[1]  
Werth R., Pseudomyxoma peritonei, Arch Gynaecol, 24, pp. 100-118, (1884)
[2]  
Fann J.I., Vierra M., Fisher D., Oberhelman Jr. H.A., Cobb L., Pseudomyxoma peritonei, Surg Gynecol Obstet, 177, pp. 441-447, (1993)
[3]  
Ronnett B.M., Zahn C.M., Kurman R.J., Kass M.E., Sugarbaker P.H., Shmookler B.M., Disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis. A clinicopathologic analysis of 109 cases with emphasis on distinguishing pathologic features, site of origin, prognosis, and relationship to 'pseudomyxoma peritonel, Am J Surg Pathol, 19, pp. 1390-1408, (1995)
[4]  
Galani E., Marx G.M.F., Steer C.B., Culora G., Harper P.G., Pseudomyxoma peritonei: The 'controversial' disease, Int J Gynecol Cancer, 13, pp. 413-418, (2003)
[5]  
van Ruth S., Acherman Y.I.Z., van de Vijver M.J., Hart A.A.M., Verwaal V.J., Zoetmulder F.A.N., Pseudomyxoma peritonei: A review of 62 cases, Eur J Surg Oncol, 29, pp. 682-688, (2003)
[6]  
Sherer D.M., Abulafia O., Fliakim R., Pseudomyxoma peritonei. A review of current literature, Gynecol Obstet Invest, 51, pp. 73-80, (2001)
[7]  
Solkar M.H., Akhtar N.M., Khan Z., Parker M.C., Pseudomyxoma extraperitonel occurring 35 years after appendectomy: A case report and review of literature, World J Surg Oncol, 2, (2004)
[8]  
Ronnett B.M., Shmookler B.M., Diener-West M., Sugarbaker P.H., Kurman R.J., Immunohistochemical evidence supporting the appendiceal origin of pseudomyxoma peritonel in women, Int J Gynecol Pathol, 16, pp. 1-9, (1997)
[9]  
Szych C., Staebler A., Connolly D.C., Wu R., Cho K.R., Ronnett B.M., Molecular genetic evidence supporting the clonality and appendiceal origin of pseudomyxoma peritonei in women, Am J Pathol, 154, pp. 1849-1855, (1999)
[10]  
Mukherjee A., Parvaiz A., Cecil T.D., Moran B.J., Pseudomyxoma peritonei usually originates from the appendix: A review of the evidence, Eur J Gynaecol Oncol, 25, pp. 411-414, (2004)