腹膜假粘液瘤诊治中若干问题探讨（Discussion on some problems of diagnosis and treatment of peritoneal myxoma）.docVIP

腹膜假粘液瘤诊治中若干问题探讨（Discussion on some problems of diagnosis and treatment of peritoneal myxoma） Discussion on some problems of diagnosis and treatment of peritoneal myxoma 2010-12-16 Zhang Shangzhi, Yao Xianying, Yang Kaiyu Pseudomyxoma peritonei (PMP) is a kind of peritoneal tumor characterized by peptone like ascites, which is often misdiagnosed or treated improperly. Based on the authors experience and literature review, the following are discussed. 1 about classification problems PMP did not classify them in the past. In 1995, according to the pathological data of 103 cases of PMP, Ronnett et al. May be classified into two categories (1, 2). (1) disseminated peritoneal mucinous gland (disseminated peritoneal adenomucinosis, DPAM disease): abundant extracellular mucin and containing a small amount of mucus epithelial hyperplasia, mild atypical hyperplasia and mitotically active, benign. 60%, five year survival rate was 84%. (2) PMCA mucinous carcinomatosis (peritoneal): there are more abundant mucin containing epithelial cells. Showing cancer in structure and cytology. 27%, 5 year survival rate was 6.7%. In another 13% of cases, the histologic findings ranged between DPAM and PMCA, whereas the clinical course was similar to PMCA, with a 5 year survival rate of 37.6%. In practice, it is sometimes difficult to determine the benign, malignant, or borderline nature of PMP in terms of the morphology of mucous epithelial cells in a large number of myxoid or mucoid ascites. At this time, if we can understand the benign and malignant of the primary tumor, it is of important reference value for judging the good and evil of PMP. A combination of clinical conditions and a Ronnett classification is used to make a more specific diagnosis or impression diagnosis in order to clarify the nature of the diagnosis, rather than a generalized diagnosis of peritoneal myxoma, and to improve the level of diagnosis and treatment. 2 clinical presentation problems 2.1 colloid ascites is an im