This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Small & Large Intestine, Subject name: Surgery
[{'content': 'False about Pseudomyoxma peritonei is \nSelect and explain. \nA. Recurrence after surgery, B. Refractory to drugs, C. Hyperthermic intraperitoneal chemotherapy is treatment option, D. Most commonly associated with appendiceal tumour', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Ans. (b) Refractory to drugsRef: Sabiston 20th ed; pg. 1080 & Bailey 27th ed; pg. 1316Explanation:* Pseudomyxoma peritonei is a rare condition which describes mucinous ascites arising from a ruptured ovarian or appendiceal carcinoma.* First described by Fraenkel, condition typically has progressive peritoneal tumor deposits, mucinous ascites, omental cake and ovarian involvement in females* Most commonly associated with appendiceal tumor* Occurs most commonly in patients who are 40 to 50 years of age and occurs in equal frequency in both males and females* Risk of developing pseudomyxoma peritonei following removal of appendix harbouring epithelial tumor is 9%, non mucinous neoplasm is 3% and 30% with mucinous adenocarcinoma* Current accepted treatment is Cytoreductive surgery with Heated or Hyperthemia Intra Peritoneal Chemotherapy (CRS + HIPEC) which includes omentectomy, stripping of involved peritoneum, resection of involved organs and appendicectomy.The survival rates after CRS + HIPEC increased from 20 to 30% to 55% nowadays', 'role': 'assistant'}]