Abstract | PURPOSE: METHODS: From March 1994 to March 2004, 292 patients were referred to a peritoneal malignancy surgical treatment center. Complete tumor removal (cytoreduction) was attempted in selected patients and, if achieved, surgery was combined with intraoperative, intraperitoneal mitomycin C (10 mg/m(2)). RESULTS: In total, 123 patients (52 males; 41 percent) underwent laparotomy for a perforated appendiceal malignancy presenting as pseudomyxoma peritonei. The median age was 52 (range 30-77) years. Complete cytoreduction was achieved in 83 of 123 patients (67 percent), major palliative resection in 34 patients (28 percent), and 6 patients (5 percent) were inoperable. Postoperative mortality was 6 of 123 patients (5 percent). Kaplan-Meier analysis of the 83 patients who had complete tumor removal predicted 75 percent disease-free survival at five years. CONCLUSIONS: A perforated appendiceal epithelial tumor most frequently presents as pseudomyxoma peritonei. This treatment strategy, involving surgery and intraperitoneal chemotherapy, can result in good outcomes in this rare and otherwise fatal disease.
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Authors | Elizabeth M Murphy, Rosemary Sexton, Brendan J Moran |
Journal | Diseases of the colon and rectum
(Dis Colon Rectum)
Vol. 50
Issue 1
Pg. 37-42
(Jan 2007)
ISSN: 0012-3706 [Print] United States |
PMID | 17115339
(Publication Type: Journal Article)
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Chemical References |
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Topics |
- Adult
- Aged
- Appendiceal Neoplasms
(drug therapy, pathology, surgery)
- Biomarkers, Tumor
(analysis)
- Combined Modality Therapy
- Female
- Humans
- Male
- Middle Aged
- Peritoneal Neoplasms
(drug therapy, pathology, surgery)
- Postoperative Complications
- Pseudomyxoma Peritonei
(drug therapy, pathology, surgery)
- Rupture
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