Pseudomyxoma Peritonei in a Patient with History of Breast Cancer
Pseudomyxoma peritonei is a very rare condition, and even rarer in patients with history of cancer. A 70-year old woman with a history of breast cancer was admitted with abdominal pain and distention. Abdominal computed tomography revealed ascites collection, diffuse engorgement and infiltration of...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Jin Publishing & Printing Co.
2016-03-01
|
| Series: | The Korean Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.67.3.153 |
| _version_ | 1818885579577753600 |
|---|---|
| author | Tae Seob Jung Jung Un Hong Shin Hee Park Hee Jeong Lee In Sun Min Ju Young Lee Chang Hyeon Seock |
| author_facet | Tae Seob Jung Jung Un Hong Shin Hee Park Hee Jeong Lee In Sun Min Ju Young Lee Chang Hyeon Seock |
| author_sort | Tae Seob Jung |
| collection | DOAJ |
| description | Pseudomyxoma peritonei is a very rare condition, and even rarer in patients with history of cancer. A 70-year old woman with a history of breast cancer was admitted with abdominal pain and distention. Abdominal computed tomography revealed ascites collection, diffuse engorgement and infiltration of the mesenteric vessel, suggesting peritonitis or peritoneal carcinomatosis. Diagnostic paracentesis was attempted several times, but a sufficient specimen could not be collected due to the thick and gelatinous nature of the ascites. Therefore, the patient underwent diagnostic laparoscopy for tissue biopsy of the peritoneum, which indicated pseudomyxoma peritonei. However, the origin of the pseudomyxoma peritonei could not be identified intraoperatively due to adhesions and large amount of mucoceles. Systemic chemotherapy was performed using Fluorouracil, producing some symptomatic relief. After discharge, abdominal pain and distention gradually worsened, so at 18 months after initial diagnosis the patient received palliative surgery based on massive mucinous ascites and palpable mass at the omentum. The patient expired after surgery due to massive bleeding. (Korean J Gastroenterol 2016;67:153-157) |
| first_indexed | 2024-12-19T16:07:41Z |
| format | Article |
| id | doaj.art-d9497ef1306f4ef7b0245a42756fb8a6 |
| institution | Directory Open Access Journal |
| issn | 1598-9992 |
| language | English |
| last_indexed | 2024-12-19T16:07:41Z |
| publishDate | 2016-03-01 |
| publisher | Jin Publishing & Printing Co. |
| record_format | Article |
| series | The Korean Journal of Gastroenterology |
| spelling | doaj.art-d9497ef1306f4ef7b0245a42756fb8a62022-12-21T20:14:48ZengJin Publishing & Printing Co.The Korean Journal of Gastroenterology1598-99922016-03-0167315315710.4166/kjg.2016.67.3.153kjg.2016.67.3.153Pseudomyxoma Peritonei in a Patient with History of Breast CancerTae Seob Jung0Jung Un Hong1Shin Hee Park2Hee Jeong Lee3In Sun Min4Ju Young Lee5Chang Hyeon Seock6Departments of Internal Medicine, Gwangmyeong Sungae Hospital, Gwangmyeong, KoreaDepartments of Internal Medicine, Gwangmyeong Sungae Hospital, Gwangmyeong, KoreaDepartments of Surgery, Gwangmyeong Sungae Hospital, Gwangmyeong, KoreaDepartments of Pathology, Gwangmyeong Sungae Hospital, Gwangmyeong, KoreaDepartment of Internal Medicine, Sungae Hospital, Seoul, KoreaDepartment of Internal Medicine, Sungae Hospital, Seoul, KoreaDepartments of Internal Medicine, Gwangmyeong Sungae Hospital, Gwangmyeong, KoreaPseudomyxoma peritonei is a very rare condition, and even rarer in patients with history of cancer. A 70-year old woman with a history of breast cancer was admitted with abdominal pain and distention. Abdominal computed tomography revealed ascites collection, diffuse engorgement and infiltration of the mesenteric vessel, suggesting peritonitis or peritoneal carcinomatosis. Diagnostic paracentesis was attempted several times, but a sufficient specimen could not be collected due to the thick and gelatinous nature of the ascites. Therefore, the patient underwent diagnostic laparoscopy for tissue biopsy of the peritoneum, which indicated pseudomyxoma peritonei. However, the origin of the pseudomyxoma peritonei could not be identified intraoperatively due to adhesions and large amount of mucoceles. Systemic chemotherapy was performed using Fluorouracil, producing some symptomatic relief. After discharge, abdominal pain and distention gradually worsened, so at 18 months after initial diagnosis the patient received palliative surgery based on massive mucinous ascites and palpable mass at the omentum. The patient expired after surgery due to massive bleeding. (Korean J Gastroenterol 2016;67:153-157)http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.67.3.153Pseudomyxoma peritoneiAppendiceal neoplasmsAdenocarcinomamucinous |
| spellingShingle | Tae Seob Jung Jung Un Hong Shin Hee Park Hee Jeong Lee In Sun Min Ju Young Lee Chang Hyeon Seock Pseudomyxoma Peritonei in a Patient with History of Breast Cancer The Korean Journal of Gastroenterology Pseudomyxoma peritonei Appendiceal neoplasms Adenocarcinoma mucinous |
| title | Pseudomyxoma Peritonei in a Patient with History of Breast Cancer |
| title_full | Pseudomyxoma Peritonei in a Patient with History of Breast Cancer |
| title_fullStr | Pseudomyxoma Peritonei in a Patient with History of Breast Cancer |
| title_full_unstemmed | Pseudomyxoma Peritonei in a Patient with History of Breast Cancer |
| title_short | Pseudomyxoma Peritonei in a Patient with History of Breast Cancer |
| title_sort | pseudomyxoma peritonei in a patient with history of breast cancer |
| topic | Pseudomyxoma peritonei Appendiceal neoplasms Adenocarcinoma mucinous |
| url | http://www.kjg.or.kr/journal/view.html?doi=10.4166/kjg.2016.67.3.153 |
| work_keys_str_mv | AT taeseobjung pseudomyxomaperitoneiinapatientwithhistoryofbreastcancer AT jungunhong pseudomyxomaperitoneiinapatientwithhistoryofbreastcancer AT shinheepark pseudomyxomaperitoneiinapatientwithhistoryofbreastcancer AT heejeonglee pseudomyxomaperitoneiinapatientwithhistoryofbreastcancer AT insunmin pseudomyxomaperitoneiinapatientwithhistoryofbreastcancer AT juyounglee pseudomyxomaperitoneiinapatientwithhistoryofbreastcancer AT changhyeonseock pseudomyxomaperitoneiinapatientwithhistoryofbreastcancer |