腹膜偽粘液腫で発症後49年間の観察中,悪性変性のみられた1例

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  • A CASE OF PSEUDOMYXOMA PETRITONEI WHICH SHOWED MALIGNANT CHANGE DURING A 49-YEAR OBSERVATION PERIOD

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A 67-year-old man with a chief complaint of a right abdominal mass was admitted in August, 1989. There was a previous history of several fisutulectomies after appendectomy in 1944. Histopathological examination of the fistula showed benign pseudomyxoma peritonei. On admission, a CT scan showed a low density tumor in the right abdominal region with a high serum CEA level. With diagnosis of possibile recurrence of pseudomyxoma peritonei, surgery for reduction was performed. Microscopic examination showed mucinous adenocarcinoma/pseudomyxoma peritonei. Serum CEA levels remained low for 5 months, but abdominal CT revealed recurrent pseudomyxoma peritonei in January, 1990. A third operation was performed for recurrence during the next three years, the tumor gradually increased, and the patient died in September 13th 1993. He survived for 49 years after initial treatment.

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