PMC3949720_01
Computed tomographic scan of abdomen showing pseudomyxoma peritonei with multiple peritoneal masses (arrow) with "scalloping effect."
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Abdomen ultrasonography and computed tomography showed images that were suggestive of pseudomyxoma and moderate, multiseptate ascites (Figure 1).
Laparotomy with right oophorectomy, omentectomy, and pseudomyxoma debulking.
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The patient was submitted to laparotomy with right oophorectomy, omentectomy, and pseudomyxoma debulking (Figure 2).
Yellow-orange gelatinous material.
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At surgery, 6,200 g yellow-orange gelatinous material (Figure 3) was removed.
Hematoxylin and eosin staining (x20).
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Cytokeratin 7 focally positive staining (x10).
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Cytokeratin 20 diffusely positive staining (x10).
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p16-negative staining (x10).
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Abdomen ultrasonography showing a mass with 58 x 30 mm in the left parietocolic groove.
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It was possible to identify a mass with 58 x 30 mm in the left parietocolic groove, indicative of peritoneal carcinomatosis (Figure 8).
Abdomen ultrasonography showing a ganglion with 32 mm at hepatic hilum.
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Enlarged ganglia were also seen, the biggest of which was at the hepatic hilum, at 32 mm (Figure 9).