Pseudomyxoma peritonei: A review of 62 cases

S. van Ruth, Y. I.Z. Acherman, M. J. van de Vijver, A. A.M. Hart, V. J. Verwaal, F. A.N. Zoetmulder

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: Pseudomyxoma peritonei (PMP) is a rare disease characterized by the abundance of mucus in the abdomen without extra-peritoneal growth. Methods: Our patients with PMP have been treated with cytoreduction and hyperthermic intraperitoneal chemotherapy since 1996. The clinical and histopathological features of PMP and the relation of these features with disease-free interval and survival were assessed. Results: Sixty-two patients with PMP (24 M/38 F) were studied. Adenomatous mucosal changes were present in 31 patients. In females, the ovaries were normal in 5 patients and pseudomyxoma ovarii was present in 20 patients. Patients with minimal atypia and with 1% focal proliferation or less (n = 38) had a better survival (p = 0.0008) than those with more focal proliferation (n = 14). Conclusion: In most patients with PMP the appendix is affected; in females the ovaries are usually also involved. Focal proliferation appears to be a prognostic factor.

Original languageEnglish
Pages (from-to)682-688
JournalEuropean Journal of Surgical Oncology
Volume29
Issue number8
DOIs
Publication statusPublished - 2003 Oct
Externally publishedYes

Subject classification (UKÄ)

  • Cancer and Oncology

Free keywords

  • Disseminated peritoneal adenomucinosis
  • HIPEC
  • Pathology
  • Peritoneal mucinous carcinomatosis with intermediate or discordant features
  • Pseudomyxoma peritonei

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