Retrospective multicenter study of a clinicopathologic analysis of pseudomyxoma peritonei associated with ovarian tumors (KGOG 3005)
J.K. LEE
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorS.H. SONG
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorI. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorK.H. LEE
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorB.G. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorJ.W. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorY.T. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorS.Y. PARK
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorM.S. CHA
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorCorresponding Author
S.B. KANG
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Soon Beom Kang, MD, PhD, Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 28 Yungun-Dong, Chongno-Ku, Seoul 110-744, Korea. Email: [email protected]Search for more papers by this authorJ.K. LEE
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorS.H. SONG
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorI. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorK.H. LEE
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorB.G. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorJ.W. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorY.T. KIM
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorS.Y. PARK
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorM.S. CHA
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Search for more papers by this authorCorresponding Author
S.B. KANG
Departments of *Obstetrics and Gynecology and †Pathology, Korea University College of Medicine, Seoul, Korea; ‡Department of Obstetrics and Gynecology, The Catholic University of Korea College of Medicine, Seoul, Korea; §Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Seoul, Korea; ‖Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea; ¶Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea; #Department of Obstetrics and Gynecology, National Cancer Center, Goyang, Korea; and **Department of Obstetrics and Gynecology, Dong-A University College of Medicine, Pusan, Korea
Soon Beom Kang, MD, PhD, Department of Obstetrics and Gynecology, Seoul National University College of Medicine, 28 Yungun-Dong, Chongno-Ku, Seoul 110-744, Korea. Email: [email protected]Search for more papers by this authorAbstract
The purpose of this study is to assess clinicopathologic features of pseudomyxoma peritonei (PMP) that has ovarian pathology and its relationship with the prognosis. From 1995 to 2004, the clinical records and follow-up data of 35 patients with PMP, which had primarily originated from the ovary, were collected from 11 institutes of gynecologic oncology in Korea and retrospectively analyzed. All patients had ovarian lesion histologically confirmed with PMP. The mean age at diagnosis was 53.7 years (range: 16–82 years). There were 25 (71.4%) patients with disseminated peritoneal adenomucinosis, 5 (14.3%) with peritoneal mucinous carcinomatosis with intermediate group, and 5 (14.3%) with peritoneal mucinous carcinomatosis. The clinical stages at diagnosis were IA in 2 patients, IIIB in 4, IIIC in 23, IV in 1, and unknown in 5. In preoperative tumor markers, the positive rates were 72% (CA125), 47.4% (CA19-9), and 84.6% (CEA). Thirty-four patients underwent surgical staging or cytoreduction, and then 27 patients (77%) received adjuvant chemotherapy that was given to patients in a nonuniform fashion. The 5-year survival for 35 patients was 87%. Survival rate was significantly lower in patients >50 years of age (P = 0.002). Our data showed that age of the patient is the only significant prognostic factor in PMP that has ovarian lesion.
References
- 1
Mann WJ Jr,
Wagner J,
Chumas J,
Chalas E.
The management of pseudomyxoma peritonei.
Cancer
1990; 66: 1636–40.
10.1002/1097-0142(19901001)66:7<1636::AID-CNCR2820660731>3.0.CO;2-N PubMed Web of Science® Google Scholar
- 2 Hopkins ML, Depetrillo AD, Le T, Fung MF. Pseudomyxoma peritonei: a case series and review of the literature. Int J Gynecol Cancer 2005; 15: 32–6.
- 3 Ronnett BM, Zahn CM, Kurman RJ, Kass ME, Sugarbaker PH, Shmookler BM. Disseminated peritoneal adenomucinosis and peritoneal mucinous carcinomatosis. A clinicopathologic analysis of 109 cases with emphasis on distinguishing pathologic features, site of origin, prognosis, and relationship to “pseudomyxoma peritonei”. Am J Surg Pathol 1995; 19: 1390–408.
- 4 Sherer DM, Abulafia O, Eliakim R. Pseudomyxoma peritonei: a review of current literature. Gynecol Obstet Invest 2001; 51: 73–80.
- 5 Galani E, Marx GM, Steer CB, Culora G, Harper PG. Pseudomyxoma peritonei: the ‘controversial’ disease. Int J Gynecol Cancer 2003; 13: 413–8.
- 6 Wertheim I, Fleischhacker D, McLachlin CM, Rice LW, Berkowitz RS, Goff BA. Pseudomyxoma peritonei: a review of 23 cases. Obstet Gynecol 1994; 84: 17–21.
- 7 Fernandez RN, Daly JM. Pseudomyxoma peritonei. Arch Surg 1980; 115: 409–14.
- 8 Kim HS, Park KA, Lee HJ et al. Clinical analysis of the effect to survival by FIGO stage and surgical treatment combined with chemotherapy in patients with pseudomyxoma peritonei. Korean J Gynecol Oncol 2006; 17: 157–66.
- 9
Ronnett BM,
Yan H,
Kurman RJ,
Shmookler BM,
Wu L,
Sugarbaker PH.
Patients with pseudomyxoma peritonei associated with disseminated peritoneal adenomucinosis have a significantly more favorable prognosis than patients with peritoneal mucinous carcinomatosis.
Cancer
2001; 92: 85–91.
10.1002/1097-0142(20010701)92:1<85::AID-CNCR1295>3.0.CO;2-R CAS PubMed Web of Science® Google Scholar
- 10 Miner TJ, Shira J, Jaques DP, Klimstra DS, Brennan MF, Coit DG. Long-term survival following treatment of pseudomyxoma peritonei: an analysis of surgical therapy. Ann Surg 2005; 241: 300–8.
- 11 Nasr MF, Kemp GM, Given FT Jr. Pseudomyxoma peritonei: treatment with intraperitoneal 5-fluorouracil. Eur J Gynaecol Oncol 1993; 14: 213–7.
- 12 Hsieh SY, Chiu CT, Sheen IS, Lin DY, Wu CS. A clinical study on pseudomyxoma peritonei. J Gastroenterol Hepatol 1995; 10: 86–91.
- 13 Alexander-Sefre F, Chandrakumaran K, Banerjee S, Sexton R, Thomas JM, Moran B. Elevated tumour markers prior to complete tumour removal in patients with pseudomyxoma peritonei predict early recurrence. Colorectal Dis 2005; 7: 382–6.
- 14 Kuo CM, Kuo CH, Changchien CS, Chin KW, Hsu TT. Pseudomyxoma peritonei with high serum CA 19-9: report of three cases. Changgeng Yi Xue Za Zhi 1999; 22: 94–9.
- 15 Van Ruth S, Hart AA, Bonfrer JM, Verwaal VJ, Zoetmulder FA. Prognostic value of baseline and serial carcinoembryonic antigen and carbohydrate antigen 19.9 measurements in patients with pseudomyxoma peritonei treated with cytoreduction and hyperthermic intraperitoneal chemotherapy. Ann Surg Oncol 2002; 9: 961–7.
- 16 Hinson FL, Ambrose NS. Pseudomyxoma peritonei. Br J Surg 1998; 85: 1332–9.
- 17 Ronnett BM, Kurman RJ, Zahn CM et al. Pseudomyxoma peritonei in women: a clinicopathologic analysis of 30 cases with emphasis on site of origin, prognosis, and relationship to ovarian mucinous tumors of low malignant potential. Hum Pathol 1995; 26: 509–24.
- 18 Lee JJ, Jung HY, Jung YS et al. A case of pseudomyxoma peritonei. Korean J Obstet Gynecol 2002; 45: 2307–11.
- 19 Park JH, Yang YH, Han YH. A clinicopathologic analysis of pseudomyxoma peritonei originated from mucinous ovarian tumors. Korean J Obstet Gynecol 1999; 42: 1808–14.
- 20 Jung JK, Chon CY, Cho HG et al. A clinical review of pseudomyxoma peritonei. Korean J Gastroenterol 1997; 30: 323–32.
- 21 Sugarbaker PH, Ronnett BM, Archer A et al. Pseudomyxoma peritonei syndrome. Adv Surg 1996; 30: 233–80.
- 22 Gough DB, Donohue JH, Schutt AJ et al. Pseudomyxoma peritonei. Long-term patient survival with an aggressive regional approach. Ann Surg 1994; 219: 112–9.
- 23 Witkamp AJ, De Bree E, Kaag MM et al. Extensive cytoreductive surgery followed by intra-operative hyperthermic intraperitoneal chemotherapy with mitomycin-C in patients with peritoneal carcinomatosis of colorectal origin. Eur J Cancer 2001; 37: 979–84.
- 24 Moran BJ. Establishment of a peritoneal malignancy treatment centre in the United Kingdom. Eur J Surg Oncol 2006; 32: 614–8.
- 25
Smith JW,
Kemeny N,
Caldwell C,
Banner P,
Sigurdson E,
Huvos A.
Pseudomyxoma peritonei of appendiceal origin. The Memorial Sloan-Kettering Cancer Center experience.
Cancer
1992; 70: 396–401.
10.1002/1097-0142(19920715)70:2<396::AID-CNCR2820700205>3.0.CO;2-A CAS PubMed Web of Science® Google Scholar
- 26 Huang HC, Huang YS, Shyr YM, Yen SH, Chang FY, Lee SD. Clinical experience of pseudomyxoma peritonei in Taiwan with emphasis on the treatment and survival. Hepatogastroenterology 2002; 49: 999–1001.