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What is Pseudomyxoma peritonei seen with which Ca - and explain in detail?
Ans. is 'a' i.e., Mucinous Pseudomyxoma peritoneio Arises from ruptured mucinous adenocarcinoma of appendix or ovary,o Peritoneum is covered with mucus secreating tumor,o MC in women between 50-70 years age.o Distended abdomen with non shifting dullness.Treatmento Drainage of mucus and intraperitoneal fluid and mucus+Cytoreduction of primary and secondary tumor implants|| Peritoneotomy + OmentectomyRt. Colectomy (appendiceal tumor)or TAH -r BSO (ovarian tumor)o Post operetive intraperitoneal chemothrapy with 5FU, mitomycin C, oxaliplatin+Intraperitoneal mucolytics (Dextran sulfate and urokinase),o Sugarbaker's procedure - heated intraperitoneal chemotherapy as adjuvent after cytoreductive surgery.