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Ruptured retroperitoneal mucinous cystadenocarcinoma with synchronous gastric carcinoma and a long postoperative survival: Case report
Author(s) -
Uematsu Toshio,
Kitamura Hiroshi,
Iwase Masanori,
Tomono Hitoshi,
Nakamura Mitsuo,
Yamashita Kimihiro,
Ogura Hiroyuki
Publication year - 2000
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/(sici)1096-9098(200001)73:1<26::aid-jso7>3.0.co;2-z
Subject(s) - mucinous cystadenocarcinoma , medicine , mucinous carcinoma , cystadenocarcinoma , mucinous tumor , gastrectomy , adenocarcinoma , lymph , carcinoma , radiology , pathology , cancer , pancreas
Abstract We describe an 86‐year‐old woman with a long survival following surgey for a massive retroperitoneal mucinous cystadenocarcinoma and a synchronous gastric carcinoma. Computed tomography showed a huge tumor with septation and calcification. Upper gastrointestinal radiography showed the additional gastric lesion. At operation, the 23 × 20 × 12‐cm retroperitoneal tumor had ruptured. Tumor resection and distal gastrectomy including regional lymph nodes were performed. Mucinous peritoneal implants were removed as completely as possible. Histologically, the mucinous tumor showed limited invasion, whereas the poorly differentiated gastric adenocarcinoma showed no serosal invasion. Among 18 retroperitoneal mucinous cystadenocarcinomas reported in the English literature since 1965, only ours was associated with gastric carcinoma. Despite peritoneal implants, our patient has survived for 6 years without clinical recurrence. As at other sites, retroperitoneal mucinous cystadenocarcinoma often grows slowly. Total removal, even after peritoneal dissemination, can result in long survival. J. Surg. Oncol. 2000;73:26–30. © 2000 Wiley‐Liss, Inc.