Melo C, Bannura G, Covacevich S
Departamento de Cirugía, Facultad de Medicina (Campus Central), Universidad de Chile, Hospital Clínico San Borja Arriarán, Santiago.
Rev Med Chil. 1994 Nov;122(11):1303-6.
We report a 40 years old female that presented with an ovarian tumor and ascites. The exploratory laparotomy revealed a mucocele of the appendix that was informed as a cystadenoma of the appendix in the fast biopsy. The definitive pathological diagnosis, a cystadenocarcinoma of the appendix, motivated a second intervention, performing a right hemicolectomy, left adnexectomy and omentumectomy. Three years later she presented with an abdominal mass and was subjected to a total hysterectomy and right adnexectomy. The pathological diagnosis was a mucinous cystadenocarcinoma with peritoneal involvement. The patient completed five years of follow up since the first intervention and is free of tumor. Pseudomyxome peritoneai generally is a tumor of ovarian origin, followed by the appendix. Surgical treatment must include the excision of neighboring compromised organs. The follow up must be lengthy considering the possibility of late recurrences.
我们报告了一名40岁女性，她患有卵巢肿瘤和腹水。剖腹探查发现阑尾黏液囊肿，快速活检报告为阑尾囊腺瘤。最终病理诊断为阑尾囊腺癌，促使进行了第二次手术，即右半结肠切除术、左侧附件切除术和大网膜切除术。三年后，她出现腹部肿块，接受了全子宫切除术和右侧附件切除术。病理诊断为黏液性囊腺癌伴腹膜受累。该患者自首次手术以来已完成五年随访，目前无肿瘤。腹膜假黏液瘤通常起源于卵巢，其次是阑尾。手术治疗必须包括切除相邻的受累器官。考虑到晚期复发的可能性，随访必须长期进行。
