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<strong>Gynekol</strong> 4-<strong>08</strong> 25.7.20<strong>08</strong> 9:47 Str. 247<br />
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MUDr. Ivana Čadková<br />
Nemocnice Milosrdných bratří<br />
gyn.-por. oddělení<br />
Polní 3<br />
639 00 Brno<br />
e-mail: ivana.cadkova@nmbbrno.cz<br />
Appendiceal Mucocele in Differential Diagnosis of Tumors in Pelvic Region<br />
Křepinská E. 1 , Jandík P. 2 , Tomšová M. 3 , Kalousek I. 1 , Špaček J. 1<br />
1 Porodnická a gynekologická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice,<br />
Hradec Králové, přednosta doc. MUDr. J. Tošner, CSc.<br />
2 Chirurgická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Hradec Králové,<br />
přednosta doc. MUDr. A. Ferko, CSc.<br />
3 Fingerlandův ústav patologie Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice, Hradec Králové,<br />
přednosta prof. MUDr. A. Ryška, Ph.D.<br />
ABSTRACT<br />
Objective: To report two cases of appendiceal mucocele in patients with suspected gynecological pathology.<br />
Design: Case report.<br />
Setting: Department of Obstetrics and Gynecology, Medical Faculty of Charles University and Faculty<br />
Hospital Hradec Králové.<br />
Subject and method: We report two cases of appendiceal mucocele diagnosed and treated at our<br />
department.<br />
Conclusion: Appendiceal mucocele is a rare pathology, characterized by abnormal accumulation of<br />
mucous in appendix lumen. It is four times more common in females with a mean age of about 55 years.<br />
The pathogenesis could be neoplastic or non-neoplastic. Appendiceal mucocele with its anatomic location<br />
must be considered in terms of differential diagnosis of masses in pelvic region. Preoperative diagnosis is<br />
important, alerting the surgeon of an unintended rupture during surgery and avoiding the development<br />
of pseudomyxoma peritonei. US and CT were reported to be valuable.<br />
Key words: mucocele, appendix, pseudomyxoma peritonei.<br />
SOUHRN<br />
Cíl studie: Popis dvou případů raritního onemocnění apendixu u pacientek operovaných pro podezření<br />
na tumor gynekologického původu.<br />
Typ studie: Kazuistika.<br />
Název a sídlo pracoviště: Porodnická a gynekologická klinika Lékařské fakulty Univerzity Karlovy<br />
a Fakultní nemocnice, Hradec Králové.<br />
Předmět a metoda studie: Popis dvou případů mukokély apendixu formou kazuistiky pacientek, které<br />
byly léčeny na naší klinice.<br />
Čes. Gynek.<br />
20<strong>08</strong>, 73, č. 4<br />
s. 247-249<br />
247
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