Show simple item record

dc.contributor.authorSardi, Armando
dc.contributor.authorJiménez, William Andrés
dc.contributor.authorWosu, Chukwuemeka
dc.date.accessioned2015-02-10T13:40:59Z
dc.date.available2015-02-10T13:40:59Z
dc.date.issued2015-02-10
dc.identifier.urihttp://hdl.handle.net/10893/7943
dc.description.abstractIntroduction: Disseminated Peritoneal Adenomucinosis (DPAM) is an infrequent presentation of appendiceal cancer. Infrequently, umbilical or inguinal hernias could be the first clinical manifestation of this condition; DPAM extension to the scrotum may be anatomically viable. Treatment with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is the standard of treatment for DPAM. We hypothesize that these same treatment principles, consisting of CRS with hyperthermic chemoperfusion of the scrotum (HCS), could be applied to the scrotal dissemination of DPAM. Methods: We reviewed our Institution’s prospective cancer database and identified two cases of DPAM with extension to the scrotum. Their medical records were examined, and close follow-up was performed. Tumor histopathology and cytoreduction scores were evaluated. Tumor progression was monitored on follow-up by physical examination, tumor markers (CEA, CA 125, CA 19.9) and abdomino-pelvic CT scan. Results: Two patients who previously had CRS/ HIPEC for DPAM were successfully treated with HSC. Both patients are alive and free of disease at 88 and 57 months following initial CRS/HIPEC, and 50 and 32 months following CRS/HCS, respectively. Conclusion: Increased awareness by surgeons to the coexistence of inguinal hernia with peritoneal neoplasm and the need for a surgical repair is raised. CRS/HCS may be employed to treat patients with DPAM extension to the scrotum. Successful outcome is dependent on complete cytoreduction of metastatic tumor. . La CRS/HCS puede ser empleada en el tratamiento a pacientes con DPAM con extensión al escroto. Los resultados clínicos son dependientes de una citoreducción completa del tumor metastásico.spa
dc.subjectHyperthermic chemoperfusionspa
dc.subjectscrotumspa
dc.subjectDPAMspa
dc.subjectcytoreductive surgeryspa
dc.subjectCRSspa
dc.subjectHIPECspa
dc.subjectQuimioperfusión hipertérmicaspa
dc.subjectescrotospa
dc.subjectcirugía citoreductivaspa
dc.titleProgression of peritoneal adenomucinosis to the scrotum: a rare occurrence treated with cytoreductive surgery and hyperthermic chemoperfusion of the scrotum in two patientsspa
dc.title.alternativeProgresión de adenomucinosis peritoneal en el escroto de dos pacientes y tratamiento con cirugía citorreductora y quimioperfusión hipertérmicaspa
dc.typeArticlespa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record