This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
The pseudomyxoma peritonei occurs as a complication of the following ovarian tumours: 
Select and explain. 
A. Serous cyst adenoma, B. Mucinous cyst adenoma, C. Dysgerminoma, D. Gonadoblastoma
B: Mucinous cyst adenoma
Answer: B: Mucinous cyst adenoma 
Explanation: Pseudomyxoma peritonei is a condition in which the neoplastic epithelium secretes large amounts of gelatinous mucinous material. It is most commonly seen secondary to:
• Appendicular carcinoma (well differentiate carcinoma).
• Ovarian mucinous carcinoma; mucinous cystadenoma.
• Mucocoele of appendix (less commonly seen).
Even after removal of the ovarian tumours, these cells continue to secrete mucin.
Tendency of recurrence is present.
Prognosis is Poor.
Management: Hysterectomy with BSO with removal of mucin peritoneal implants along with appendix.