{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T15:49:14Z","timestamp":1772639354072,"version":"3.50.1"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Mucinous cystadenoma occurs in 10\u201315% of all ovarian tumors. Diagnosis and treatment should be decided precisely as it has a chance to develop into pseudomyxoma peritonei (PMP). Management of PMP might be challenging especially when repeated surgery is needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>The first case, a 22-year-old lady with recurrent stomach enlargement for seven months. She had history of laparotomy surgery due to an ovarian tumor. Whole abdomen contrast CT scan showed a large cyst with mucinous fluid. We decided to do re-laparotomy and found a left ovarian cyst. Histological examination results confirm ovarian mucinous cystadenoma. The second case was, 55-year-old woman, with abdominal enlargement for six months. She had a history of laparotomy and chemotherapy due to pseudomyxoma peritonei. Post chemotherapy MRI showed persistent pseudomyxoma and two multilocular cysts from both adnexa. Debulking laparotomy was then conducted. We obtained 8 L of mucinous pseudomyxoma along with mucinous cyst from both ovaries. The final diagnosis concluded as a pseudomyxoma and we decide to close the follow-up of the patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Pseudomyxoma is caused by the production of mucin originating from intra-abdominal organs. Open surgery should be prioritized when the mucinous cystadenoma is detected to do a complete peritoneum evaluation and avoid perioperatively ruptured mucinous neoplasm. Pseudomyxoma often needed repeated surgical treatment and may exhibit different surgical findings and different pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Repeated surgery is logical and still no need for adjuvant chemotherapy in both cases. Accurate and precise diagnosis should be prioritized in order to prevent repeated surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2022.107141","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T02:00:46Z","timestamp":1651543246000},"page":"107141","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Histopathological discrepancy and variation of surgical management in mucinous ovarian cystadenoma and pseudomyxoma peritonei"],"prefix":"10.1097","volume":"94","author":[{"given":"Gatot","family":"Purwoto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tricia Dewi","family":"Anggraeni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Primariadewi","family":"Rustamadji","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilham Utama","family":"Surya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelli","family":"Julianti","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathaniel","family":"Herlambang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-135-20260304","first-page":"8","article-title":"A massive ovarian mucinous cystadenoma: a case report","volume":"11","author":"Kamel","year":"2010","journal-title":"Reprod. Biol. Endocrinol"},{"key":"R3-135-20260304","first-page":"143","article-title":"Large ovarian tumor: a case report CASE REPORT","volume":"3","author":"Agrawal","year":"2015","journal-title":"Int.J.Sci.Study"},{"key":"R4-135-20260304","doi-asserted-by":"crossref","first-page":"6124","DOI":"10.3748\/wjg.v12.i38.6124","article-title":"Management of Pseudomyxoma peritonei","volume":"12","author":"Qu","year":"2006","journal-title":"World J. Gastroenterol"},{"key":"R7-135-20260304","first-page":"21","article-title":"Pseudomyxoma peritonei: diagnosis and management","volume":"13","author":"Sait","year":"2006","journal-title":"J.King Abdulaziz Univ.Med.Sci"},{"key":"R9-135-20260304","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1002\/bjs.4862","article-title":"Systematic review of the Sugarbaker procedure for Pseudomyxoma peritonei","volume":"92","author":"Bryant","year":"2005","journal-title":"Br. J. Surg"},{"key":"R10-135-20260304","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3802\/jgo.2019.30.e95","article-title":"Accuracy of frozen section diagnosis and factors associated with final pathological diagnosis upgrade of mucinous ovarian tumors","volume":"30","author":"Park","year":"2019","journal-title":"J. Gynecol. Oncol"},{"key":"R11-135-20260304","first-page":"4943","article-title":"Strategies for preventing pseudomyxoma peritonei after resection of a mucinous neoplasm of the appendix","volume":"35","author":"Honor\u00e9","year":"2015","journal-title":"Anticancer Res"},{"key":"R12-135-20260304","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1007\/s00384-014-1933-8","article-title":"Comparison of serial debulking and cytoreductive surgery with hyperthermic intraperitoneal chemotherapy in pseudomyxoma peritonei of appendiceal origin","volume":"29","author":"J\u00e4rvinen","year":"2014","journal-title":"Int. J. Color. Dis"},{"key":"R14-135-20260304","doi-asserted-by":"crossref","first-page":"7809","DOI":"10.1245\/s10434-021-10093-z","article-title":"Managing recurrent Pseudomyxoma peritonei in 430 patients after complete cytoreduction and HIPEC: a dilemma for patients and surgeons","volume":"28","author":"Ahmadi","year":"2021","journal-title":"Ann. Surg. Oncol"},{"key":"R15-135-20260304","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha","year":"2020","journal-title":"Int. J. Surg"},{"key":"R16-135-20260304","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1097\/PGP.0000000000000302","article-title":"Pattern of HER-2 gene amplification and protein expression in benign, borderline, and malignant ovarian serous and mucinous neoplasms","volume":"36","author":"Mohammed","year":"2017","journal-title":"Int. J. Gynecol. Pathol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122200387X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S221026122200387X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107141","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T10:07:33Z","timestamp":1772618853000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2022.107141"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2022.107141","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2022,5]]}}}