False about pseudomyxoma peritonei is:
Pseudomyxoma peritonei: It is caused due to the rupture of mucinous adenocarcinoma. The most common primary tumor is appendix > ovary. It is the presence of jelly-like substance collected in the cavity and they are usually attached with other abdominal structures. Patient usually presents with abdominal distention, signs/symptoms of paial obstruction, weight loss and occurrence of sudden and multiple hernia (due to increased abdominal pressure) Diagnosis-by omental biospy Staging- PET CT Treatment is usually "Cytoreduction" which includes omentectomy+ peritonectomy+ right hemicolectomy + if female, bilateral salphingo-oophrectomy. If there is recurrence due to residual jelly-like substance after surgery, the treatment is Hypothermic Intra-peritoneal Chemotherapy (HIPEC) which as mitomycin C and cisplatin as impoant agents. Other agents are doxorubicin and docetaxel and these 4 agents are used as single drug or by combination.
Omental biopsy for diagnosis
Refractory to drugs
Hypehemic intraperitoneal chemotherapy is treatment option
Most commonly associated with appendiceal tumor
JIPMER 2018