Pseudomyxoma peritonei differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Nima Nasiri, M.D.[2]Parminder Dhingra, M.D. [3]
Overview
Pseudomyxoma peritonei must be differentiated from peritoneal carcinomatosis without mucinous ascites, peritoneal sarcomatosis, and peritonitis.
Differential Diagnosis
Pseudomyxoma peritonei must be differentiated from:[1][2]
- Peritoneal carcinomatosis without mucinous ascites
- Peritoneal sarcomatosis
- Peritonitis
Differentiating pseudomyxoma peritonei from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]
On the basis bloating, abdominal distention, infertility and hernia , must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6].
| Diseases | Clinical manifestations | Para-clinical findings | Gold standard | Additional findings | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Symptoms | Physical examination | ||||||||||||||
| Lab Findings | Imaging | Histopathology | |||||||||||||
| Symptom 1 | Symptom 2 | Symptom 3 | Physical exam 1 | Physical exam 2 | Physical exam 3 | Lab 1 | Lab 2 | Lab 3 | Imaging 1
CT Scan |
Imaging
2 |
Imaging 3 | ||||
| Pseudomyxoma peritonei | Bloating | Abdominal distention | Abdominal tenderness | Low-attenuation
Scalloping of the visceral surfaces |
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| Peritoneal carcinomatosis without mucinous ascites | |||||||||||||||
| Peritoneal sarcomatosis | |||||||||||||||
| Lymphomatosis | CD20, CD79a, CD10 | Thickened peritoneal surfaces multifocal nodules and masses | Atypical lymphoid cells | ||||||||||||
| Tuberclousis Peritonitis | caseating granuloma with a central area of necrotic acellular debris surrounded by histiocytes | ||||||||||||||
| Endometriosis | |||||||||||||||
| Sclerosing encapsulating peritonitis | |||||||||||||||
| Gliomatosis Peritonei | |||||||||||||||
| Osseous metaplasia | |||||||||||||||
| Splenosis | |||||||||||||||
| Melanosis | |||||||||||||||
| Inflammatory Pseudotumor | |||||||||||||||
References
- ↑ Harmon RL, Sugarbaker PH (February 2005). "Prognostic indicators in peritoneal carcinomatosis from gastrointestinal cancer". Int Semin Surg Oncol. 2 (1): 3. doi:10.1186/1477-7800-2-3. PMC 549516. PMID 15701175.
- ↑ Carr NJ, Bibeau F, Bradley RF, Dartigues P, Feakins RM, Geisinger KR, Gui X, Isaac S, Milione M, Misdraji J, Pai RK, Rodriguez-Justo M, Sobin LH, van Velthuysen MF, Yantiss RK (December 2017). "The histopathological classification, diagnosis and differential diagnosis of mucinous appendiceal neoplasms, appendiceal adenocarcinomas and pseudomyxoma peritonei". Histopathology. 71 (6): 847–858. doi:10.1111/his.13324. PMID 28746986.