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Artículo Tomo 71, Número. 2, Marzo 2018

Archivos Españoles de Urología

Pseudomyxoma peritonei: A case report and review of the literature.

Authors: Juan Gómez Rivas, José María Alonso-Dorrego, Diego M. Carrión, Mónica Vega Robalino y Pilar González- Peramato.

Arch. Esp. Urol. 2018; 71 (2): 208-211

Vol. 71, Number. 2, March 2018

OBJECTIVE: We present the case of a patient incidentally diagnosed with a pelvic mass next to the bladder. After surgical excision, definitive diagnosis was pseudomyxoma peritonei. We provide a concise review of the literature of this pathology.

METHODS: A 55 year-old male patient, was found to have, in annual routine ultrasound, a pelvic retrovesical mass. CT guided needle aspirate showed a tumor with myxoid changes and low aggressive cytology. Surgical excision was performed.

RESULTS: The excised mass contained the cecal appendix and ileal serosa. Pathology report was: mucinous cystadenoma of the appendix and pseudomyxoma peritonei.

CONCLUSIONS: PMP is a local-regional disease within the abdomen, characterized by a mucinous tumor (mucocele) that produces a progressive amount of mucinous ascites, which eventually blows-out, and tumor cells are spread through the peritoneal cavity. Treatment options differ significantly, depending the stage of the disease.


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