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BioMed Central, World Journal of Surgical Oncology, 1(13), 2015

DOI: 10.1186/s12957-015-0639-x

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Pseudomyxoma peritonei extending to the lower extremity: a case report

Journal article published in 2015 by Min Wook Joo, Yang-Guk Chung ORCID, Soo Young Hur, Ahwon Lee, Chan Kwon Jung ORCID, Won-Hee Jee, Jong Ho Kim
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Abstract Pseudomyxoma peritonei is characterized by mucinous ascites originating from a mucin-producing neoplasm; however, even the definition is still under debate. Tumor deposits extend and ultimately engulf the entire cavity, causing death from cachexia due to limited intestinal movement. Here, we report a unique case of an 80-year-old woman with pseudomyxoma peritonei, which extended to the lower extremity mimicking infectious condition. The patient survived for a long time without bowel obstruction despite having the histologic subtype that has an unfavorable prognosis. The extremity lesion was treated with limited extensive surgery. The origin of the disease and the mechanism of extension to the extremity could not be clarified. Clinicians should be aware of the original disease entity and this unusual presentation and determine its mechanism and the best management strategy.