Tumores mucinosos del ovario, pseudomixoma peritonei

PSEUDOMIXOMA PERITONEI ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TUMORES MUCINOSOS DEL OVARIO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

TUMORES MUCINOSOS BENIGNOS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

TUMORES MUCINOSOS LIMÍTROFES ,[object Object],[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

TUMOR MUCINOSO LIMÍTROFE TIPO INTESTINAL ,[object Object],[object Object],[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

TUMOR MUCINOSO LIMÍTROFE TIPO ENDOCERVICAL. ,[object Object],[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

CARCINOMAS NO INVASIVOS. ,[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

TUMORES MICROINVASIVOS ,[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

CARCINOMAS MUCINOSOS INVASIVOS ,[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

MARCADORES TUMORALES ,[object Object],[object Object],[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

[object Object],[object Object],[object Object],[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

PSEUDOMIXOMA PERITONEI ,[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

EPIDEMIOLOGÍA ,[object Object],[object Object],[object Object],[object Object],[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

[object Object],[object Object],[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

CLASIFICACIÓN ,[object Object],[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

CUADRO CLÍNICO ,[object Object],[object Object],[object Object],Int J Gynecol Pathol. Vol 24. No. 1. 2005

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lancet Oncology 2006.7 69-76

[object Object],[object Object],[object Object],[object Object],Clinical oncology 2003: 15. 73-77

ECOGRAFÍA ,[object Object],[object Object],[object Object],[object Object],[object Object],Clinical oncology 2003: 15. 73-77

TAC ,[object Object],[object Object],[object Object],[object Object],Clinical oncology 2003: 15. 73-77

OVARIO VS APÉNDICE ,[object Object],[object Object],[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

INMUNOHISTOQUÍMICA ,[object Object],[object Object],[object Object],[object Object],[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

MOLECULAR ,[object Object],[object Object],Diseases of the Colon & Rectum 2005; 48: 1372-79

DIAGNÓSTICO DIFERENCIAL ,[object Object],[object Object],[object Object]

Pseudomixoma peritonei Carcinomatosis peritoneal Menos de 10% de sobrevida a 5 años. Lento progreso con 50% de sobrevida a 5 años evolución clínica Cirugía pequeño impacto en la sobrevida Cirugia mejora el pronóstico Tratamiento Amenudo presentes Practicamente nunca Metástasis a nódulos linfáticos, higado, pulmones Estructuras cribiformes y / o tubulares, nucleo agrandado, nucleolo prominente, figuras mitoticas frecuentes las cuales pueden ser atípicas Epitelio simple o proliferativo focal conatipia moderada a mínima, Características citoarquitectura Implantes invasivos, glándulas y celulas facilmente encontradas No invasivo, superficiales, paucicelulares Implantes peritoneales Adenocarcinoma mucinosos Neoplasma mucinosos de bajo potencial maligno Dx Primario Colon, apendice, estómago Apendice Sitio primario

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lancet Oncology 2006.7 69-76

QUIMIOTERAPIA HIPERTÉRMICA INTRAPERITONEAL ,[object Object],[object Object],Lancet Oncology 2006.7 69-76

QUIMIOTERAPIA SISTÉMICA ,[object Object],[object Object],[object Object],Clinical oncology 2003: 15. 73-77

CONTROVERSIAL ,[object Object],[object Object],[object Object],Clinical oncology 2003: 15. 73-77

Tumores mucinosos del ovario, pseudomixoma peritonei

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Tumores mucinosos del ovario, pseudomixoma peritonei