Pseudomyxoma peritonei occurs due to:: (A) Mucinous cystadenoca ovary, (B) Ca colon, (C) Adenoma stomach, (D) Pancreatic adenocarcinoma
Answer is A. Ans: A (Mucinous cystadenoca ovary) Ref: Shows Textbook of Gynecology 15th ed pg 375Explanation:MUCINOUS TUMOURS OF OVARYMultiloculated cyst lined by columnar epitheliumCut surface shows multilocular and honey comb appearanceCan grow to large size 5 to 10 kgs. pedunculated.Usually unilateral (Bilateral in 5% cases)Usually Benign (5 to 10% malignant).Bilateral -- metastasis from GI tract, mucocele of appendix, primary adenoca appendix.In women 30 to 60 years.Has a glistening surface.If tumor ruptures it may lead to formation of pseudomyxoma peritonei and viscera show extensive adhesions.Appendicectomy prevents this condition as mucocele of appendix often causes this complication.