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Journal of Clinical Pathology 2005;58:1115-1117; doi:10.1136/jcp.2004.025148
Copyright © 2005 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

SHORT REPORT

Pseudomyxoma peritonei: unusual origin from an ovarian mature cystic teratoma

N Pranesh1, L P Menasce2, M S Wilson1 and S T O’Dwyer1

1 Department of Surgery, Christie Hospital NHS Trust, Withington, Manchester M20 4BX, UK
2 Department of Pathology, Christie Hospital NHS Trust

Correspondence to:
Correspondence to:
Mr N Pranesh
PMP Service, Surgical Theatres, Christie Hospital, Wilmslow Road, Withington, Manchester M20 4BX, UK; Nagarajan.Pranesh{at}christie-tr.nwest.nhs.uk

ABSTRACT

Pseudomyxoma peritonei (PMP) is classified into pathologically and prognostically distinct categories, such as disseminated peritoneal adenomucinosis (DPAM) and peritoneal mucinous carcinomatosis. There is overwhelming evidence that DPAM arises from a mucinous adenoma of the appendix. The one exception to this is the presentation of a mature ovarian cystic teratoma as PMP where the appendix is normal. This report describes such a case and discusses the presentation, histopathology, and treatment options.

Abbreviations: CK, cytokeratin; DPAM, disseminated peritoneal adenomucinosis; PMCA, peritoneal mucinous carcinomatosis; PMP, pseudomyxoma peritonei

Keywords: pseudomyxoma peritonei; ovarian cystic teratoma; appendiceal mucinous adenoma; disseminated peritoneal adenomucinosis


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