AI Article Synopsis
- A 55-year-old male was incidentally found to have a pelvic mass during a routine ultrasound, leading to further investigation and surgical excision.
- After the surgery, the pathology revealed the mass was a mucinous cystadenoma of the appendix, causing a condition known as pseudomyxoma peritonei (PMP).
- PMP is a progressive abdominal disease marked by mucinous tumors that produce increasing amounts of fluid, with treatment varying based on the disease stage.
Article Abstract
Objective: We present the case of a patient incidentally diagnosed with a pelvic mass next to the bladder. After surgical excision, definitive diagnosis was pseudomyxoma peritonei. We provide a concise review of the literature of this pathology.
Methods: A 55 year-old male patient, was found to have, in annual routine ultrasound, a pelvic retrovesical mass. CT guided needle aspirate showed a tumor with myxoid changes and low aggressive cytology. Surgical excision was performed.
Results: The excised mass contained the cecal appendix and ileal serosa. Pathology report was: mucinous cystadenoma of the appendix and pseudomyxoma peritonei.
Conclusions: PMP is a local-regional disease within the abdomen, characterized by a mucinous tumor (mucocele) that produces a progressive amount of mucinous ascites, which eventually blows-out, and tumor cells are spread through the peritoneal cavity. Treatment options differ significantly, depending the stage of the disease.
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