[Peritoneal pseudomyxoma: an overview emphasizing pathological assessment and therapeutic strategies].

Fiche publication


Date publication

février 2014

Journal

Annales de pathologie

Auteurs

Membres identifiés du Cancéropôle Est :
Dr AVEROUS Gerlinde, Pr BIBEAU Frédéric


Tous les auteurs :
Dartigues P, Isaac S, Villeneuve L, Glehen O, Capovilla M, Chevallier A, Croce S, Kaci R, Lang-Averous G, Laverriere MH, Leroux-Broussier A, Mery É, Poizat F, Valmary-Degano S, Verriele-Beurrier V, Gilly FN, Bibeau F

Résumé

Pseudomyxoma peritonei is a clinical entity characterized by a gelatinous ascite associated with mucinous tumor deposits spreading on peritoneal surface and potentially invading abdominal organs. It is considered as a tumor process linked, in most of cases, to a mucinous appendiceal neoplasm. Pseudomyxoma peritonei may benefit from a therapeutic strategy combining cytoreductive surgery and intra-peritoneal chemotherapy, which has led to a major prognosis improvement. Different classifications are available and the last one corresponds to the WHO 2010 version, which individualizes pseudomyxoma peritonei in two classes: low grade and high grade mucinous carcinoma. The very low frequency of this entity and its specific therapeutic strategy need specific health care centres, as well as physicians and pathologists collaborating through dedicated networks. The aim of this article is to summarize the pathology, causes, mechanisms and therapeutic approaches of pseudomyxoma peritonei, as well as their interfaces with dedicated networks.

Mots clés

Humans, Peritoneal Neoplasms, classification, Pseudomyxoma Peritonei, classification

Référence

Ann Pathol. 2014 Feb;34(1):14-25