Gough等对腹膜假粘液瘤作了详细的描述,认为它是可治疗的疾病过程,局部治疗有效,多次反复手术可延长病人的生命,全身性化疗使病人衰弱,不能延长寿命,腹腔内局部化疗已足够.作者主张不必过份强调手术的危险性,但是这一低度癌肿需要完美策略的处理手段,首先要了解腹膜假粘液瘤的自然发展过程.不论源自阑尾、卵巢或结直肠,这一疾病过程具有再分布现象的特点.大量癌肿可累积在大网膜、右隔的下侧面、盆腔、右肝后间隙,左腹侧沟和十二指肠悬韧带处,而肠壁的腹膜面则完全无癌肿,除非经过多次手术,很少广泛受侵.鉴于癌肿弥散的独特类型,需掌握几个生 Gough et al. described the peritoneal pseudomyxoma in detail and considered it as a treatable disease process. The local treatment is effective. Repeated surgery can prolong the patient’s life. Systemic chemotherapy weakens the patient and can not prolong lifespan. Chemotherapy is sufficient. The authors argue that there is no need to overemphasize the risk of surgery. However, this low-grade cancer requires a perfect strategy. The first step is to understand the natural course of peritoneal pseudomyxoma, whether it originates from the appendix, ovary or colorectum. The disease process is characterized by a redistribution phenomenon. A large number of cancers can accumulate in the omentum, the inferior surface of the right septum, the pelvic cavity, the posterior right hepatic space, the left ventral ditch, and the duodenum suspensory ligament. The peritoneal surface of the wall is completely free of cancer, and unless it undergoes many operations, it is seldom widely invaded. In view of the unique type of cancer diffusion, a few students need to be mastered.