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Updated: Jan 31, 2026

Using Unfixed, Frozen Tissues to Study Natural Mucin Distribution
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Mucinous appendiceal neoplasms: classification, imaging, and HIPEC.

David J Bartlett1, Paul G Thacker1, Travis E Grotz2

  • 1Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.

Abdominal Radiology (New York)
|January 6, 2019
PubMed
Summary
This summary is machine-generated.

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) show promise for peritoneal carcinomatosis from mucinous appendiceal neoplasms (MAN). This review details MAN classification, imaging, and the radiologist

Keywords:
Cytoreductive surgeryHyperthermic intraperitoneal chemotherapy, HIPECMucinous appendiceal neoplasm, MANPseudomyxoma peritonei, PMP

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Peritoneal carcinomatosis from mucinous appendiceal neoplasms (MAN) presents treatment challenges.
  • Traditional systemic chemotherapy has limitations for MAN.
  • Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) represent advanced therapeutic options.

Purpose of the Study:

  • To provide a comprehensive review of mucinous appendiceal neoplasms (MAN).
  • To summarize current understanding of MAN diagnosis and treatment.
  • To highlight the radiologist's role in managing MAN.

Main Methods:

  • Literature review of histologic classification of MAN.
  • Review of imaging findings for mucoceles and pseudomyxoma peritonei.
  • Description of the radiologist's contribution to patient selection for CRS/HIPEC.

Main Results:

  • CRS/HIPEC offers advantages over systemic chemotherapy for MAN.
  • Accurate histologic classification is crucial for treatment planning.
  • Radiologic assessment aids in disease quantification and patient selection for surgery.

Conclusions:

  • CRS/HIPEC is a viable and advantageous treatment for MAN.
  • Radiologists play a key role in the multidisciplinary management of MAN.
  • Multidisciplinary collaboration improves outcomes for patients with MAN.