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Ann Thorac Surg 2007;83:1893-1894
© 2007 The Society of Thoracic Surgeons

Case Reports

Prolonged Survival in a Patient With Recurrent Pulmonary Metastases Secondary to Mucinous Cystadenocarcinoma of the Appendix With Pseudomyxomatous Peritonei

Aftab A. Khan, MD, MRCSa,*, Jeymi Tambiah, MS, FRCSa, Paul Cane, FRCPathb, Loic Lang-Lazdunski, MD, PhDa

a Department of Thoracic Surgery, Guys Hospital, Kings College London, London, United Kingdom
b Department of Histopathology, Guys Hospital, Kings College London, London, United Kingdom

Accepted for publication December 4, 2006.

* Address correspondence to Dr Khan, Department of Thoracic Surgery, Guys Hospital, London SE1 9RT UK (Email: iftee{at}hotmail.com).

We report a 65-year-old man presenting with recurrent pulmonary metastases 20 years after an appendectomy for mucinous cystadenocarcinoma with pseudomyxomatous peritonei. He underwent bilateral staged metastatectomies for metastases 7 years after the diagnosis and further metastasectomy after a recent recurrence. This is a rare case of recurrent pulmonary metastatic mucinous cystadenocarcinoma, and despite poor prognosis and nondefinitive initial treatment, this patient remains alive and well 20 years later.






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