Diagnosis of Pseudomyxoma peritonei via endoscopic ultrasound guided fine needle aspiration: a case report and review of literature

Darr, Umar; Renno, Anas; Alkully, Turki; Khan, Zubair; Tiwari, Abhinav; Zeb, Waleed; Purdy, Jenna; Nawras, Ali

doi:10.1080/00365521.2017.1284896

Cited by 12 publications

(11 citation statements)

References 17 publications

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“…Pseudomyxoma peritonei (PMP), first proposed by James Werth in 1884, is characterized by mucinous ascites in the abdomen with mucinous implants on the peritoneal surface. [ 1 , 2 ] The estimated incidence of PMP is approximately 1 to 4 individuals per million per year. [ 3 ] Since the behavior of PMP is largely indolent and left untreated, which is associated with 10-year survival rates between 33% and 68%.…”

Section: Introductionmentioning

confidence: 99%

Development and validation of prognostic nomograms for pseudomyxoma peritonei patients after surgery

Chen¹,

Su²,

Yang³

et al. 2020

Medicine

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Background: The aim of study was to develop and validate nomograms for predicting overall survival (OS) and cancer-specific survival (CSS) of patients with pseudomyxoma peritonei (PMP) and compare the predictive accuracy with the American Joint Committee on Cancer (AJCC) staging system. Methods: Data of 4959 PMP patients who underwent surgical resection were collected between 2004 and 2015 from the Surveillance Epidemiology and End Results (SEER) database. All included patients were divided into training (n = 3307) and validation (n = 1652) cohorts. The Kaplan–Meier method and Cox proportional hazard model were applied. Nomograms were validated by discrimination and calibration. Finally, concordance index (C-index) was used to compare the predictive performance of nomograms with that of the AJCC staging system. Results: According to the univariate and multivariate analyses of training sets, both nomograms for predicting OS and CSS combining age, grade, location, N stage, M stage, and chemotherapy were identified. Nomograms predicting OS also incorporated T stage and the number of lymph nodes removed (LNR). The calibration curves showed good consistency between predicted and actual observed survival. Moreover, C-index values demonstrated that the nomograms predicting both OS and CSS were superior to the AJCC staging system in both cohorts. Conclusion: We successfully developed and validated prognostic nomograms for predicting OS and CSS in PMP patients. Two nomograms were more accurate and applicable than the AJCC staging system for predicting patient survival, which may help clinicians stratify patients into different risk groups, tailor individualized treatment, and accurately predict patient survival in PMP.

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Section: Introductionmentioning

confidence: 99%

Development and validation of prognostic nomograms for pseudomyxoma peritonei patients after surgery

Chen¹,

Su²,

Yang³

et al. 2020

Medicine

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“…Multiple other reports have described the use of EUS for paracentesis and for FNA from peritoneal nodules and omentum but have not been included as they report about two or less patients. [ 19 20 21 22 23 24 25 ]…”

Section: Resultsmentioning

confidence: 99%

Endoscopic ultrasound-guided fine-needle aspiration from ascites and peritoneal nodules: A scoping review

Sharma

Ahmed

Guleria³

et al. 2017

Endosc Ultrasound

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The peritoneum is involved in many diseases such as primary malignancy (mesothelioma), infectious disease (tuberculosis), and disseminated malignancy (peritoneal carcinomatosis). The peritoneal disease may manifest as ascites and/or peritoneal masses or nodules. Endoscopic ultrasound (EUS), due to its ability to provide high-resolution images, has revolutionized the imaging and diagnosis of pancreaticobiliary diseases among other gastrointestinal conditions. EUS can not only help in imaging of various lesions close to the gastrointestinal lumen but also aspirate/biopsy them. We conducted a systematic search to identify published literature on the value of EUS in detection and diagnosis of peritoneal disorders. This review aims to summarize the available literature on the use of EUS-guided paracentesis and fine-needle aspiration from peritoneal nodules.

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“…The substance oozing from the patient's umbilicus is pathognomonic of mucinous ascites, often described as jelly belly. [1][2][3][4][5][6][7] This unique type of ascites results from diffuse implants of mucinous tumor on peritoneal surfaces and omentum.…”

Section: Answermentioning

confidence: 99%

“…Endoscopic ultrasoundguided fine-needle aspiration of an intra-abdominal mass has established the diagnosis in a few cases. 7 As mentioned earlier, paracentesis often fails because the mucinous ascites is too thick to aspirate through a needle. In that circumstance, the pathognomonic jelly can be extracted from the belly by means of a trocar 24,* -an approach seldom used any longer.…”

Section: Diagnosismentioning

confidence: 99%

Jelly from the belly button: What's the diagnosis?

Fred

Aisenberg

Guthrie

et al. 2018

Baylor University Medical Center Proceedings

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Diagnosis of Pseudomyxoma peritonei via endoscopic ultrasound guided fine needle aspiration: a case report and review of literature

Abstract: Endoscopic ultrasound guided FNA, although very rarely used, can be a reliable and safe technique in diagnosis of PMP.

Cited by 12 publications

References 17 publications

Development and validation of prognostic nomograms for pseudomyxoma peritonei patients after surgery

Development and validation of prognostic nomograms for pseudomyxoma peritonei patients after surgery

Endoscopic ultrasound-guided fine-needle aspiration from ascites and peritoneal nodules: A scoping review

Jelly from the belly button: What's the diagnosis?

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