Ruptured retroperitoneal mucinous cystadenocarcinoma with synchronous gastric carcinoma and a long postoperative survival: Case report

Uematsu, Toshio; Kitamura, Hiroshi; Iwase, Masanori; Tomono, Hitoshi; Nakamura, Mitsuo; Yamashita, Kimihiro; Ogura, Hironao

doi:10.1002/(sici)1096-9098(200001)73:1<26::aid-jso7>3.0.co;2-z

Cited by 25 publications

(33 citation statements)

References 10 publications

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“…Thus, most of the time the tumor site was usually revealed by the time of surgery. Among those few reported cases who had CT scans (8)(9)(10)(11)15,16) , only three cases (Pearl (8) , Uematsu (10) and Suzuki (11) ) were diagnosed correctly from imaging studies. The first two authors did not describe findings which led them to the correct site of origin preoperatively while Suzuki et al did.…”

Section: Discussionmentioning

confidence: 96%

Retroperitoneal mucinous cystadenocarcinoma: a case report and review of literature

TANGJITGAMOL,

MANUSIRIVITHAYA,

SHEANAKUL

et al. 2002

Int J Gynecol Cancer

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This is a case report of retroperitoneal mucinous cystadenocarcinoma which was operated on for a preoperative diagnosis of ovarian tumor. The tumor had no connection to other intra-abdominal organs including bilateral normal ovaries. Grossly, it was a well encapsulated, unilocular cyst containing mucous material. Histology revealed a typical area of benign, low malignant potential and malignant mucinous epithelium. No particular microscopic features suggested the origin of the tumor. We additionally performed total hysterectomy, bilateral salpingooophorectomy, and appendectomy after tumor resection and found no tumor elsewhere from these specimens. Prophylactic chemotherapy was also given. The patient was doing well 18 months postoperation. Due to its rarity, the prognosis and optimal treatment cannot be concluded with confidence at this time until more cases are reported.

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Section: Discussionmentioning

confidence: 96%

Retroperitoneal mucinous cystadenocarcinoma: a case report and review of literature

TANGJITGAMOL,

MANUSIRIVITHAYA,

SHEANAKUL

et al. 2002

Int J Gynecol Cancer

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“…High-power view showing mild to moderate nuclear atypia with mitoses (d). Immunohistochemistry: the tumour exhibits diffuse strong expression of CK 7 (e) and patchy strong expression of CK 20 (f) maximum diameters of these tumours varied from 60 to 240 mm [13,14]. Microscopic examination reveals varying degrees of differentiation from areas of benign mucinous columnar epithelium through borderline areas and frankly malignant adenocarcinomatous foci [1,4].…”

Section: Pathological Findingsmentioning

confidence: 99%

“…The follow up period ranged from 6 months to 6 years after surgery. In most cases, the prognosis seems to be good when additional surgery was performed and patients have remained free of recurrence or metastasis [1,6,13]. The development of tumour recurrences and metastasis have been known to occur when simple tumour excision was performed with or without chemotherapy [9,14].…”

Section: Pathological Findingsmentioning

confidence: 99%

“…Most reports have included information regarding the uterus, tubes and ovaries being normal [3,4,12,13].…”

Section: Pathological Findingsmentioning

confidence: 99%

“…More conservative surgery has been proposed by Law et al, who advocate for laparoscopic excision of the tumour and complete evaluation of the abdominal and pelvic organs, sparing fertility in these women [24]. Adjuvant chemotherapy is not a standard treatment and its effectiveness is uncertain [13]. It is suggested that it is beneficial in cases with spillage of cyst fluid associated with tumour rupture during surgical intervention [1] or when the invasion of adjacent structures is macroscopically evident [4].…”

Section: Pathological Findingsmentioning

confidence: 99%

See 2 more Smart Citations

Primary retroperitoneal cystic mucinous borderline tumour mimicking an ovarian neoplasm: a case report and literature review

Nasir¹,

Nair²,

Faulkner³

et al. 2008

Gynecol Surg

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Ovarian-type mucinous tumours occur very rarely in the retroperitoneum. We present a case of primary retroperitoneal mucinous tumour of borderline malignancy in a 58-year-old woman, detected as an incidental finding. The patient presented with acute renal failure, investigation for which revealed a complex pelvic mass initially thought to be in the right adnexa and consistent with an ovarian neoplasm. Surgical findings revealed a 130-mm, right-sided non-communicating retroperitoneal pelvic mass, posterior to the appendix, which was completely resected. Both ovaries were normal. Macroscopically, it was a multiloculated cystic structure with a smooth external surface containing clear and mucinous fluid. Microscopic examination showed a mucinous tumour of borderline malignancy. The literature contains approximately nine other cases of primary mucinous retroperitoneal tumour of borderline malignancy. These cases have occurred in women aged 36-60 years. Most patients were asymptomatic and the mass was detected as an incidental finding. The patients have been followed up for up to 6 to 18 months and, to date, none have recurred. There are limitations to pre-operative radiological imaging. A definitive diagnosis can only be made after complete surgical excision and histological examination, having excluded retroperitoneal involvement by mucinous tumours from sites such the ovaries, bowel, appendix and pancreas.

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Retroperitoneal cystic masses: magnetic resonance imaging features

et al. 2019

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Ruptured retroperitoneal mucinous cystadenocarcinoma with synchronous gastric carcinoma and a long postoperative survival: Case report

Cited by 25 publications

References 10 publications

Retroperitoneal mucinous cystadenocarcinoma: a case report and review of literature

Retroperitoneal mucinous cystadenocarcinoma: a case report and review of literature

Primary retroperitoneal cystic mucinous borderline tumour mimicking an ovarian neoplasm: a case report and literature review

Retroperitoneal cystic masses: magnetic resonance imaging features

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