Joseph Reuben, Sathiamoorthy Ramprasath, Gnanasekaran Rajkumar, Gunasekaran Lavanya, Ilangovan Gurubharath
Radiology, Chettinad Hospital and Research Institute Chettinad Academy of Research and Education, Chennai, IND.
Cureus. 2022 Sep 19;14(9):e29309. doi: 10.7759/cureus.29309. eCollection 2022 Sep.
Pseudomyxoma peritonei (PMP) is a rare manifestation of primary mucinous neoplasms. We report two rare cases of PMP originating from mucinous primary ovarian neoplasms. The case series discusses the cases of female patients aged 86 and 52 years who presented with worsening dyspepsia, abdominal distension, pelvic pain, and altered bowel habits. Both of the patients underwent evaluation comprising cancer antigen-125 (CA-125) levels, ultrasound (US) examination of the abdomen and the pelvis, tumor markers, cytological evaluation, and contrast-enhanced computed tomography (CECT) of the pelvis and abdomen. Patients were diagnosed to have pseudomyxoma peritonei arising from mucinous ovarian tumors. Patients were referred to the surgical department and were successfully managed with repeated removal of mucinous material. The present case report highlights the significant radio-pathologic characteristics of PMP, which originated from mucinous ovarian tumors.
腹膜假黏液瘤(PMP)是原发性黏液性肿瘤的一种罕见表现。我们报告了两例罕见的源自黏液性原发性卵巢肿瘤的PMP病例。该病例系列讨论了两名分别为86岁和52岁女性患者的病例,她们表现为消化不良加重、腹胀、盆腔疼痛和排便习惯改变。两名患者均接受了包括癌抗原125(CA-125)水平、腹部和盆腔超声(US)检查、肿瘤标志物、细胞学评估以及盆腔和腹部增强计算机断层扫描(CECT)在内的评估。患者被诊断为源自黏液性卵巢肿瘤的腹膜假黏液瘤。患者被转诊至外科,并通过反复清除黏液性物质成功治疗。本病例报告突出了源自黏液性卵巢肿瘤的PMP的重要放射病理特征。