-

Abstract

Pseudomyxoma peritonei is a condition characterized by the accumulation of excessive amounts of mucinous material in the peritoneal cavity. Althought appendiceal mucinous cystadenoma and mucinous ovarian tumor are often seen together, the coexistence with adenocarcinoid of the appendix is rare. A-72-year-old female patient was admitted to our gynecology outpatient clinic with abdominal pain complaint. Ultrasonography showed cystic right ovarian mass with solid fields. Total hysterectomy + bilateral salpingooopherectomy + omentectomy + appendectomy were performed. Mucinous cystadenoma of the appendix, adenocarcinoid tumor and ovarian borderline mucinous tumor coexistance is a rare combination

Keywords

• pseudomyxoma peritonei, over, appendix, adenocarcinoid, borderline, synchronous

PSÖDOMİKSOMA PERİTONEİ'NEYE YOL AÇAN SENKRON APENDİKS VE OVER TÜMÖRÜ

Öz

Psödomiksoma peritonei, peritoneal kavitede aşırı miktarda müsinöz materyal birikimi ile karakterize bir durumdur. Apendiks müsinöz kistadenomu ve ovaryan müsinöz tümör birlikteliği sık olsa da apendiks adenokarsinoidi ile nadiren eş zamanlı olarak görülürler. Karın ağrısı şikayetiyle jinekoloji polikliniğine başvuran 72 yaşında kadın hastada ultrasonografide sağ over kaynaklı kistik ve solid alanları izlenen kitle saptanması üzerine total histerektomi+bilateral salpingoooferektomi+ omentektomi+apendektomi yapıldı. Apendikste müsinöz kistadenom ve adenokarsinoid tümör, sağ overde ise borderline müsinöz tümör tespit edildi. Bu üç tümörün birlikteliği nadir bir durumdur.

Anahtar Kelimeler

• Psödomiksoma peritonei, over, apendiks, adenokarsinoid, borderline, senkron

Kaynakça

1. Kojimahara T, Nakahara K, Shoji T, Sugiyama T, Takano T,
2. Yaegashi N, et al. Identifying prognostic factors in Japanese
3. women with pseudomyxomaperitonei: a retrospective clinicopathological
4. study of theTohoku Gynecologic Cancer Unit.
5. Tohoku J ExpMed. 2011;223(2):91-6.
6. Lee KR, Scully RE. Mucinous tumors of the ovary: a
7. clinicopathologic study of 196 borderline tumors (of intestinal
8. type) and carcinomas, including an evaluation of 11 cases

9. with ‘pseudomyxomaperitonei’ Am J Surg Pathol.
10. ;24:1447–1464.
11. Lee JK, Song SH, Kim I, Lee KH, Kim BG, Kim JW, et al.
12. Retrospective multicenter study of a clinicopathologic analysis
13. of pseudomyxoma peritonei associated with ovarian tumors
14. (KGOG 3005) Int J Gynecol Cancer. 2008;18:916–920.
15. Van Ruth S, Acherman YI, van de Vijver MJ, Hart AA,
16. Verwaal VJ, Zoetmulder FA. Pseudomyxomaperitonei: a
17. review of 62 cases. Eur J Surg Oncol. 2003;29:682–688.
18. Dong Y, Li T, Zou W, Liang Y. Pseudomyxomaperitonei:
19. report of 11 cases with a literature review. Zhonghua
20. Binglixue Zazhi. 2002;31:522–525.
21. Scully RE, Young RH, Clement PB. Tumors of the ovary,
22. maldeveloped gonads, fallopian tube, and broad ligament: Atlas
23. of tumorpathology. Armed Forces İnstitute Of Pathology,
24. ;81-105..
25. Riddel RH, Petras RE, Williams GT, Sobin LH. Tumors of
26. theintestines, Atlas of tumorpathology. Armed Forces
27. İnstitute Of Pathology, 2003;241-248.
28. Mahteme H, Sugarbaker PH. Treatment of peritoneal
29. carcinomatosis from adenocarcinoid of appendiceal origin. Bri
30. J Surg. 2004;91:1168-1173.
31. Edmonds P, Merino MJ, Livolsi VA, Duray PH.
32. Adenocarcinoid (mucinouscarcinoid) of theappendix.
33. Gastroenterology. 1984;86:302-309.
34. Capella C, Rosa SL, Uccella S, Billo P, Cornaggia M. Mixed
35. endocrine- exocrinetumours of thegastrointestinal tract. Semin
36. Diagn Pathol .2000;17:91-103.
37. Klöppel G, Perren A, Heitz PU. The Gastroenteropancreatic
38. Neuroendocrine Cell Systemand Its Tumors: The WHO
39. Classification. Ann NY Acad Sci. 2004;1014:13-27.
40. Rindi G, Klöppel G. Endocrine tumors of the gut and
41. pancreas tumor biology and classification.
42. Neuroendocrinology. 2004;80:12-15.
43. Volante M, Rindi G, Papotti M. The grey zone between
44. pure (neuro)endocrine and non-(neuro)endocrine tumours: a
45. comment on concepts and classification of mixed exocrineendocrine
46. neoplasms. Virchows Arch. 2006;449:499-506.
47. Velusamy A, Saw S, Gossage J, Bailey S, Schofield J. Combined
48. adenocarcinoid and mucinous cystadenoma of the appendix:
49. a case report. A Journal of Medical Case Reports.
50. ;3:28.