advertisement

Pseudomyxoma final slideshare

50 %
50 %
advertisement
Information about Pseudomyxoma final slideshare
Health & Medicine

Published on March 11, 2014

Author: REKHAKHARE

Source: slideshare.net

Description

Pseudomyxoma peritoneii is a rare entity. It is good for medical students as tutorial session
advertisement

Dr Rekha Khare MD Radiology

 It is a clinical condition caused by cancerous cells that produce diffuse intra peritoneal gelatinous ASCITIS in abdomen and pelvis

 Ascites is recurrent, voluminous and mucinous  Ascites is due to surface growth on the peritoneum without invading the underlying tissue

 Carl F. Rokitansky reported first case in 1842  Werth coined the term pseudomyxoma peritoneii in 1884, that was in association with mucinous ovarian tumour  Frankel reported first case of PMP in 1901 that was in association with cyst of appendix

 Over all incidence- 1-2/million/year  Male :Female ratio= 9:11  Median age at presentation is about 50years (range 20-25years)

 Ruptured mucinous tumour of appendix/ appendiceal mucocele

 Mucinous tumour of large & small bowel, Lung, Breast, Pancreas, Stomach, Bile duct, Gall bladder and Fallopian tube / Ovary, urachal tumour are implicated

 Patient may present with: -abdominal or pelvic pain -bloating/ distension -digestive disorder -weight loss -increasing abdominal girth -infertility

 In male: patient may come with Inguinal hernia  In female: presentation could be with uni/ bilateral ovarian disease

 Ultrasound  CT scan History, clinical exam. & imaging studies often lead to the diagnosis  Sometimes diagnostic paracentesis under U/S confirmation by cytological exam.  Often discovered during surgery

 PET scan may be used to evaluate high grade mucinous adenocarcinoma  New MRI procedures are being developed for disease monitoring

 Non mobile Ascites with septations or loculated ascites with echogenic particle  Scalloping of liver, spleen & other organs

 Loculated low attenuated ascites  Multiple complex cystic masses of fat density or variable density

 Scalloping of visceral surface of liver, spleen & other organs  Compression or central displacement of small bowels

 Any of the above finding with: - mass in Rt. lower quadrant/appendicial mucocele -pelvic mass/ mucinous ovarian mass - any other underlying cause of PMP

 Peritoneal carcinomatosis without mucinous ascites  Peritoneal sarcomatosis  Peritonitis

 Peritoneal Adenomucinosis Primary tumour: ADENOMA  Peritoneal mucinous carcinoma Primary tumour: MUCINOUS ADENOCARCINOMA  Intermediate or discordant feature

 Recurrent bowel obstruction due to fibrosis or adhesion  Mucus build up, filling the abdominal cavity, compression of organ will impede digestive or organ function  Increased abdominal pressure

 Good with treatment  Lethal if untreated with death by -cachexia, -renal failure -other types of complication

 A middle aged lady was referred to Deptt. Of Radiology for ultrasound exam.  She had problem of progressively increasing abdominal girth, pain in abdomen and digestive disorders

 Multiloculated ascites with no particles (not moving like blood or pus)  Scalloping effect over the border of liver and spleen (spleen is significantly reduced in size)

 Multi loculated ascites with well enhanced rim of peritoneum  Pocket of fluid in right iliac fossa, pelvic cavity and para colic gutter

 Scalloping effect over the border of liver and spleen  Small bowel seems to be gathered in the center  Right pleural effusion r

 Long history of slow growing illness, clinical exam. and Imaging findings lead to the diagnosis of: Pseudomyxoma -Peritoneii  Nothing much could be done for her, as she has left the hospital against medical advice

 PMP is rare, slow growing disease & may recur after surgery or chemotherapy  It is important to obtain an accurate diagnosis as treatment ranges from watchful waiting to: -debulking -hyper thermic intraperitoneal chemotherapy -cytoreductive surgery

 Pseudomyxoma Peritoneii, Alexandra Stanislavsky. Radiology Reference article Radiopaedia.org  Pseudomyxoma peritoneii(PMP), Diagnosis and Imaging finding www.medscape.com/view article/506509_2

 Pseudomyxoma peritoneii. Submitted by Paurush shah MSIV www.learning radiology.com  Peritoneum & Mesentery PartII Pathology Angela Levy, The Radiology Assistant

 Gray-scale sonographic finding in a patient with pseudomyxoma , C Lersch etal Journal of Clinical ultrasound vol 29 Issue3 page186-191March/April 2001

Add a comment

Related presentations

Related pages

Signs and symptoms of breast cancer - Understanding breast ...

Pseudomyxoma peritonei (PMP) Skin cancer (non-melanoma) Soft tissue sarcomas; Spinal cord tumours; Stomach cancer; Testicular cancer; Thymus cancer ...
Read more

Malignant Melanoma: Practice Essentials, Background, Etiology

Malignant melanoma ... Cascinelli N, Coit DG, et al. Final version of the American Joint Committee on Cancer staging system for cutaneous ...
Read more

Psoriasis O Sarna - photo de psoriasis sur le visage

psoriasis o sarna Com and apply now type full time superintendent, tampa, boy, philadelphia, mean illawarra mercury where fyi online. psoriasis o sarna ...
Read more

Rapport Annuel d'activité d'Eurordis 2012 + Workplan by ...

L'Agence Galilée conçoit et réalise le nouveau Rapport d'activité de l'association européenne des maladies rares Eurordis. Elle crée pour cela une ...
Read more

Cervical screening - Cervical screening and CIN ...

Cervical screening, like other screening tests, isn't perfect. So it is not always possible to detect early cell changes that can lead to cancer.
Read more

Site map - Survivornet.ca

Home / Site map. Site map About. About CCSN. ... View the slides on Slideshare: ... BMS just received the final pCODR recommendation for Opdivo in lung cancer.
Read more