medigraphic.com
Federación Mexicana de Ginecología y Obstetricia, A.C.

2021, Number 07

<< Back Next >>

Ginecol Obstet Mex 2021; 89 (07)

Peritonei pseudomyxoma diagnosed in the context of a high suspicion of ovarian carcinoma: a case report

Luque-González P, Azcona SL, Cabezas-Palacios MN, Jiménez-Gallardo J, Rodríguez-Jiménez I

Language: Spanish
References: 11
Page: 549-555
PDF size: 445.54 Kb.


ABSTRACT

Background: Pseudomyxoma peritonei is a rare disease characterized by mucinous ascites accompanied by peritoneal and omentum tumor implants. It is usually associated with an appendicular neoplasm, almost always of low histologic grade, the ovary being the most frequently affected site due to metastasis to the reproductive tract. Its diagnosis is extremely complex and treatment options are controversial.
Objective: To report a clinical case and review the literature concerning pseudomyxoma peritonei and its relationship with appendicular tumors.
Clinic case: 83-year-old patient, with abdominal distension and weight loss in the last three months, with elevation of tumor markers and a multicystic mass and free fluid in the abdomen. It was decided to operate due to suspicion of ovarian cancer. The anatomopathological diagnosis reported low-grade mucinous adenocarcinoma in the appendix and bilateral metastasis in both appendages in the context of peritoneal pseudomyxoma. Nine months after surgery the patient was still being followed up.
Conclusions: When faced with the diagnosis of pseudomyxoma peritonei it is decisive to establish a single valid classification that contributes to the dissemination of knowledge and the creation of diagnostic and therapeutic protocols that allow prompt and effective patient care.


REFERENCES

  1. Ning S, Yang Y, Wang Ch, Luo F. Pseudomyxoma peritonei induced by low-grade appendiceal mucinous neoplasm accompanied by rectal cancer: a case report and literature review. BMC Surg 2019; 19 (1): 42. https://doi. org/10.1186/s12893-019-0508-6

  2. Morera-Ocon FJ, Navarro-Campoy C. History of pseudomyxoma peritonei from its origin to the first decades of the twenty-first century. World J Gastrointest Surg 2019; 11 (9): 358-64. doi: 10.4240/wjgs.v11.i9.358

  3. Diaz-Zorrilla C, Ramos De la Medicna A, Grube-Pagola P, Ramírez-Gutiérrez de Velasco A, et al. Pseudomyxoma extraperitonei: a rare presentation of a rare tumour. BMJ Case Rep 2013; 2013:bcr2012007702. http://dx.doi. org/10.1136/bcr-2012-007702

  4. Yu B, Raj MS. Pseudomixoma peritonei. In: StatPearls. Treasure Island (FL): StatPearls Publishing, 2020. PMID: 31082160.

  5. Homeag M, Enachescu V, Pavel LE, Manescu N. Pseudomyxoma peritonei. Curr Health Sci J. 2009; 35 (3): 193-

  6. PMID: 24778820 6. Zuluaga Santamaría A, Sarmiento Serrano JR, Cock Botero AM, Uribe González R, Osorio Castrillón LM, Isaza Zapata S, et al. Neoplasias mucosas del apéndice. Rev Colomb Radiol 2015; 26 (3): 4252-9.

  7. Rizvi SA, Syed W, Ravi Sl. Approach to pseudomyxoma peritonei. World J Gastrointest Surg 2018; 10 (5): 49-56. doi: 10.4240 /wjgs.v10.i5.49.

  8. Vázquez García H, López-Arias A, Salazar Campos JE, Pérez Montiel D, et al. Tumores metastásicos de ovario. Un reto diagnóstico y terapéutico. Gaceta Mexicana de Oncología 2016; 15 (1): 47-51. https://doi.org/10.1016/j. gamo.2016.01.002

  9. Yeika EV, Efie DT, Tolefac PN, et al. Giant ovarian cyst masquerading as a massive ascites: a case report. BMC Res Notes 2017;10 (1): 749. https://doi.org/10.1186/ s13104-017-3093-8

  10. Díez J, Moreno J, Gascón J, Valladolid A, Luján S, Rodríguez- Escudero FJ. Carcinoma primario de apéndice diagnosticado como cáncer de ovario avanzado. Clin Invest Ginecol Obstet. 2001; 28 (7): 290-91. doi: 10.1016/ S0210-573X(01)77109-2.

  11. Mittal R, et al. Pseudomyxoma peritonei: natural history and treatment. Int J Hyperthermia 2017; 33 (5): 511-19. doi: 10.1080/02656736.2017.1310938.




2020     |     www.medigraphic.com