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Minerva Chirurgica 2000 January-February;55(1-2):53-8

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Pseudomyxoma peritonei with mucinous cystoadenoma of the appendix and ovary. A case report. Correlation with synchronous or metachronous colorectum cancers

Cavallaro V., Cimbali P., Barbarino F., Mirone I., Puci I., Cammisuli F.


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Mucocele is a rare pathology which is difficult to diagnose prior to surgery. The clinical symptoms are aspecific. Diagnosis is generally made at the time of surgery. Explorative laparoscopy is not advised owing to the possibility of encouraging metastatic diffusion. Surgery associated with extempore freezer tests must be carried out with the greatest caution to avoid rupture of organs and the spread of mucin. Appendec-tomy and removal of the adnexa is recommended in benign forms, with or without omentectomy. Omentectomy is necessary together with hystero-adnexectomy and right hemicolectomy in malignant forms, as well as lymph node cleaning and removal of all mucin in pseudomyxoma peritonei.

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