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Pseudomyxoma peritonei: Revisited
Mary Grace O. Cheng, MD; Lylah D. Reyes, MD, MSc, FPOGS and Rommel Z. Dueñas, MD, FPOGS, FSGOP
Department of Obstetrics and Gynecology, Far Eastern University - Nicanor Reyes Medical Foundation Medical Center
It was followed by exploratory laparotomy revealing gelatinous material in the peritoneum with seeding of mucoid material into the omentum, ovary and appendix. Frozen section of the right ovary revealed Atypical Mucinous Proliferative Ovarian Tumor (APMOT). Final histopathology result of the endometrial curetting revealed adenomatoid tumor of the uterus. Immunohistochemical staining with desmin and caldesmon revealed negative results implicating the absence of leiomyosarcoma. Final histopathology results were consistent with Disseminated Peritoneal Adenomucinosis (DPAM). Immunohistochemical staining with CK20 was positive and CK7 was negative, consistent with metastases from a primary gastrointestinal tumor. Chemotherapy in the form of FOLFOX regimen was contemplated. However, the patient was lost to follow up.