Pseudomyxoma Peritonei - EChin

Pseudomyxoma Peritonei - EChin - Mucocele and Pseudomyxoma...

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Team III Conference Edward Chin, M.D. March 20, 2003 Mucocele and Pseudomyxoma Peritonei
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Case 60M with hematuria on routine U/A Hx reveals abdominal pain x 3 months Benign abdominal exam CT scan:
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Workup CT-guided aspiration of pelvic fluid Analysis: mucinous adenocarcinoma Taken to OR on 3/6/03 for exploratory laparoscopy
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Operative Course Diffuse, mucinous material throughout Appendiceal mass Findings discussed with family laparotomy Appendix, omentum, peritoneum removed Larger nodules ablated with ABC Tenckhoff catheter placed
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Post-operative Course Intra-abdominal chemotherapy begun on POD#1, continued x 5 days Prolonged hospital course 2 nd chemo- induced diarrhea D/c’d POD#12 Pathology: well-differentiated invasive mucinous adenocarcinoma, mucin pools with calcifications
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Appendiceal Cancer 1% of appendectomies contain cancer 2/3 carcinoid (50% all GI carcinoids are appendiceal) Tan-yellow mass, surrounding desmoplastic reaction < 2 cm no further treatment > 2 cm R hemicolectomy Remainder: mucinous cystadenocarcinoma, adenocarcinoma, adenocarcinoid Adenocarcinoma associated with metastatic disease 50% of time (likely 2 nd appendiceal rupture, tumor spread)
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Pseudomyxoma Peritonei - EChin - Mucocele and Pseudomyxoma...

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