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Pseudomyxoma peritonei (PMP) is a poorly understood uncommon condition with an estimated incidence of one to two per million (worldwide) per year. It is characterized by the peritoneal deposition of mucinous implants, diffusely involving the peritoneal surfaces, most commonly of the appendix, and occasionally from the ovary, coupled by mucinous ascites. PMP associated with primary ovarian mucinous tumor was very rare. This is a case report of 45 years old female presented with large ovarian mass with gross ascites which was operated and diagnosed as primary atypical proliferative mucinous tumor with pseudomyxoma ovarii with disseminated peritoneal adenomucinosis (DPAM).
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