A Case Report of Pseudomyxoma Peritonei Arising From Primary Mucinous Ovarian Neoplasms

Reuben Joseph1, Ramprasath Sathiamoorthy1, Rajkumar Gnanasekaran1

  • 1Radiology, Chettinad Hospital and Research Institute Chettinad Academy of Research and Education, Chennai, IND.

Cureus
|October 24, 2022
PubMed

Insights

Pseudomyxoma peritonei (PMP) is a rare condition originating from ovarian tumors. This case series details two patients managed with surgical removal of mucinous material.

Area of Science:

  • Oncology
  • Gynecologic Oncology
  • Pathology

Background:

  • Pseudomyxoma peritonei (PMP) is a rare clinical manifestation of primary mucinous neoplasms.
  • Primary mucinous ovarian neoplasms are an uncommon origin for PMP.

Observation:

  • Two female patients, aged 86 and 52, presented with dyspepsia, abdominal distension, pelvic pain, and altered bowel habits.
  • Diagnostic evaluations included cancer antigen-125 (CA-125) levels, ultrasound (US), tumor markers, cytology, and contrast-enhanced computed tomography (CECT).

Findings:

  • Both patients were diagnosed with PMP originating from mucinous ovarian tumors.
  • Successful management involved repeated surgical debulking of mucinous ascites.

Implications:

  • This case report underscores the characteristic radio-pathologic features of PMP arising from ovarian mucinous tumors.
  • Highlights the importance of multidisciplinary management for rare gynecologic malignancies.