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Acta médica Grupo Ángeles
versão impressa ISSN 1870-7203
Resumo
TINOCO-TELLEZ, Luis Leovigildo et al. Pseudomyxoma peritonei: a case report treated with debulking surgery and HIPEC in Hospital Ángeles León. Acta méd. Grupo Ángeles [online]. 2016, vol.14, n.3, pp.165-170. Epub 24-Set-2021. ISSN 1870-7203.
Background:
Pseudomyxoma peritonei is characterized by disseminated intraperitoneal mucinous tumors and mucinous ascites in the abdomen; with incidence of 1/1,000,000, it predominates in females; 30-50% of patients have progressive abdominal ascites, accompanied by abdominal pain, weight loss and dyspnea; in 90% of patients, the primary lesion is a mucinous tumor of appendix. Computed tomography and histopathology are the most reliable diagnostic modalities. Current treatment is debulking surgery combined with hyperthermic intraperitoneal chemotherapy, followed by intravenous chemotherapy.
Clinical case:
A 31 years old male with previous appendectomy eight years ago, with increasing of abdominal girth of two months, 8 kg weight loss and progressive dyspnea. On examination: globular abdomen by ascites, decreased peristalsis and no evidence of acute abdomen; he subjected to laparotomy with removal of six liters of ascitic fluid and debulking surgery accompanied by hyperthermic chemotherapy. 27 months after diagnosis the patient is rated in 1 of functional ECOG scale.
Conclusions:
Pseudomyxoma peritonei is a rare disease, its treatment includes debulking surgery combined with intraperitoneal hyperthermic chemotherapy.
Palavras-chave : Pseudomyxoma peritonei; hyperthermic intraperitoneal chemotherapy.