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Pulmonary metastases in pseudomyxoma peritonei – case report and review of the literature


Authors: P. Horák 1;  P. Holečková 2;  Z. Špůrková 3;  J. Marvan 1;  F. Antoš 1;  J. Fanta 1
Authors place of work: Chirurgická klinika 1. lékařské fakulty Univerzity Karlovy a Nemocnice Na Bulovce, Praha 1;  Ústav radiační onkologie, 1. lékařská fakulta Univerzity Karlovy a Nemocnice Na Bulovce, Praha 2;  Patologicko-anatomické oddělení, Nemocnice Na Bulovce, Praha 3
Published in the journal: Rozhl. Chir., 2020, roč. 99, č. 10, s. 462-466.
Category: Case Report

Summary

Pseudomyxoma peritonei is a rare disease caused by dissemination of cancer forming mucous and gelatinous masses in the peritoneal cavity. Local recurrence is frequent; however, dissemination outside the peritoneal cavity is rare. 

Case report: We present the case report of a female patient treated for bilateral pulmonary metastases from pseudomyxoma peritonei. We removed 1 metastasis from her left lung and 12 metastases form her right lung. The patient remained in a good clinical state; however, additional lung metastases developed, as well as a metastasis in L2 vertebra for which the patient underwent a surgical procedure.

Conclusion: Cytoreductive surgeries for intrathoracic involvement in pseudomyxoma peritonei with additional hyperthermic cytostatic intrapleural lavage in case of pleural involvement can lead to a longer lifespan in indicated patients. 


Zdroje
  1. Carr NJ, Cecil TD, Mohamed F, et al. Peritoneal Surface Oncology Group International. A consensus for classification and pathologic reporting of pseudomyxoma peritonei and associated appendiceal neoplasia: The results of the Peritoneal Surface Oncology Group International (PSOGI) Modified Delphi Process. Am J Surg Pathol. 2016;40(1):14−26. doi: 10.1097/PAS.0000000000000535.
  2. Bibi R, Pranesh N, Saunders MP, et al. A specific cadherin phenotype may charac­terise the disseminating yet nonmetastatic behaviour of pseudomyxoma peritonei. Br J Cancer 2006;95(9):1258–1264. doi: 10.1038/sj.bjc.6603398.
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Štítky
Surgery Orthopaedics Trauma surgery
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