Pseudomyxoma peritonei: report of 8 cases / 中国普通外科杂志

ABSTRACT

Objective To investigate the diagnosis and treatment of pseudomyxoma peritonei(PMP).Methods[WT5”BZ] Retrospective study was made on 8 cases of PMP treated in our department.Results Main clinical presentations included abdominal pain,distention,mass and wasting.Ultrasonography showed heterogeneous ascites in 2 cases and elevated CEA level in 4 cases.All patients underwent surgery.Primary tumour was identified in the appendix in 7 cases and in the colon in 1 case.Surgical procedure included resection of primary tumour, omentectomy ,removal of mucinous ascites and combined resection of organs involved.Postoperative adjuvant chemotherapy and /or radiotherapy was added to 6 cases.All patients were followed up and 5 year survival rate was 50%(4/8),10 year survival rate was 13%(1/8).Conclusions 1 .PMPisarareconditionanddifficulttodiag nosisbeforesurgery ,ultrasonographyandCEAmayhelpinmakingadiagnosis .2 .Beingalow gradecarcinomaand infrequentmetastasis,PMPisoftenresponsivetorepeateddebulkingfollowedbyadjuvanttherapy,hencehasafa vorablelong termsurvival.