Qadri Shagufta, Alam Kiran, Alam Feroz, Maheshwari Veena
Department of Pathology, Jawaharlal Nehru Medical College, Aligarh, Uttar Pradesh, India.
Euroasian J Hepatogastroenterol. 2014 Jul-Dec;4(2):113-116. doi: 10.5005/jp-journals-10018-1115. Epub 2014 Jul 28.
Malignant mucinous neoplasms of the appendix is an infrequently encountered entity. Extra-appendiceal spread of these tumor is one of the commonest etiology of pseudomyxoma peritonei, which demands a hightened vigilance in their early diagnosis. Although low-grade appendiceal mucinous neoplasms (LAMNs) largely stay confined to the appendix, but they can spread to the peritoneum as pseudomyxoma peritonei leading to an unpredictable outcome. Due to the rare occurrence of low-grade appendiceal neoplasm only tenuous and limited information is present in the medical literature. We report a case of LAMN with pseudomyxoma peritonei in a 45-year-old male, who presented with the complaints of abdominal distension associated with abdominal pain and constipation. Clinical examinations and computed tomography (CT) scan were suggestive of pseudomyxoma peritonei. Peroperative findings and histopathological examination rendered a conclusive diagnosis of low-grade appendiceal neoplasm. Qadri S, Alam K, Alam F, Maheshwari V. Low Grade Appendiceal Muci-nous Neoplasm with Pseudomyxoma Peritonei: An Enigma for Pathologist. Euroasian J Hepato-Gastroenterol 2014;4(2):113-116.
阑尾恶性黏液性肿瘤是一种较少见的疾病。这些肿瘤的阑尾外播散是腹膜假黏液瘤最常见的病因之一，这就要求在其早期诊断时提高警惕。尽管低级别阑尾黏液性肿瘤（LAMNs）大多局限于阑尾，但它们可作为腹膜假黏液瘤扩散至腹膜，导致不可预测的后果。由于低级别阑尾肿瘤罕见，医学文献中仅有微弱且有限的信息。我们报告一例45岁男性的LAMN伴腹膜假黏液瘤病例，该患者表现为腹胀伴腹痛和便秘。临床检查和计算机断层扫描（CT）提示腹膜假黏液瘤。手术所见和组织病理学检查确诊为低级别阑尾肿瘤。Qadri S, Alam K, Alam F, Maheshwari V. 低级别阑尾黏液性肿瘤伴腹膜假黏液瘤：病理学家的一个谜团。《欧亚肝脏胃肠病学杂志》2014年；4(2):113 - 116。
