Palma Rios Hugo, Goulart André, Leão Pedro
General Surgery Department, Hospital de Braga, Braga, Portugal.
Surgical Sciences Research Domain, Life and Health Sciences Research Institute (ICVS), School of Health Sciences, ICVS/3B's-PT Government Associate Laboratory, University of Minho, Braga, Portugal.
Case Rep Surg. 2018 Jan 11;2018:6897372. doi: 10.1155/2018/6897372. eCollection 2018.
Pseudomyxoma peritonei (PMP) and extragastrointestinal stromal tumors (E-GISTs) are both rare entities. Most of the time, PMP is associated with an appendiceal tumor. An ovarian mucinous tumor can mimic appendiceal metastases. E-GIST is a mesenchymal tumor that can arise from the omentum, retroperitoneum, mesentery, or pleura. We present a case of an 87-year-old woman with mucinous carcinomatosis and acute intestinal occlusion submitted to an emergency laparotomy. She has found to have a borderline mucinous tumor of the ovary from the intestinal type with several lesions of pseudomyxoma peritonei and an E-GIST from the epiploons retrocavity (intermediated risk). In the literature, no relation was found between these two rare tumors. E-GIST was an incidental finding in the context of a mucinous carcinomatosis.
腹膜假黏液瘤(PMP)和胃肠道外间质瘤(E-GIST)均为罕见病症。大多数情况下,PMP与阑尾肿瘤相关。卵巢黏液性肿瘤可酷似阑尾转移瘤。E-GIST是一种间叶性肿瘤,可起源于大网膜、腹膜后、肠系膜或胸膜。我们报告一例87岁女性患者,因黏液性癌病和急性肠梗阻接受急诊剖腹手术。术中发现她患有肠型卵巢交界性黏液性肿瘤,伴有多处腹膜假黏液瘤病变,以及来自网膜后腔的E-GIST(中度风险)。在文献中,未发现这两种罕见肿瘤之间存在关联。E-GIST是在黏液性癌病背景下偶然发现的。