Document Detail


Interventional radiology strategies in the treatment of pseudomyxoma peritonei.
MedLine Citation:
PMID:  16034657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To describe percutaneous maneuvers to treat the unusual entity symptomatic pseudomyxoma peritonei (PMP). METHODS: Four patients with PMP were treated by interventional radiology techniques that included large catheters (20-30 Fr) alone (n = 3), multiple catheters (n = 4), and dextran sulfate as a catalytic agent through smaller catheters (n = 1). The causes of the PMP were tumors in the ovary (2 patients), appendix (1 patient), and colon (1 patient). Each patient previously had undergone at least two operations to remove the PMP, and all patients had symptomatic recurrence. An in vitro analysis of catalytic agents also was performed. RESULTS: All four patients improved symptomatically. Follow-up CT scans demonstrated marked reduction of PMP material in all cases. One patient underwent another interventional radiology session 5 months after the first; the other three patients had no recurrence of symptoms. One patient had reversible hypotension 2 hr after the procedure. The amount of material removed varied from 3 to 6 L. CONCLUSION: These interventional radiology techniques were effective and safe for PMP and suggest options for this difficult medical and surgical problem.
Authors:
Eric vanSonnenberg; Brian W Goodacre; Gerhard R Wittich; Seham Ali; Stuart G Silverman; Sridhar Shankar; Kemal Tuncali
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Publication Detail:
Type:  In Vitro; Journal Article    
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  28     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-08-31     Completed Date:  2005-12-06     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  490-4     Citation Subset:  IM    
Affiliation:
Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, 44 Binney Street, Boston, MA 02115, USA. ericvansonnenberg@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Peritoneal Neoplasms / radiography,  therapy*
Pseudomyxoma Peritonei / radiography,  therapy*
Radiography, Interventional / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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