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Reviewed by Dr. Juan José Torrent — Updated: April 30, 2026
Specialized Unit

Surgery for Pseudomyxoma Peritonei

At Quenet-Torrent Institute, we are experts in treating pseudomyxoma peritonei, a rare condition that requires highly specialized surgery. We combine complete cytoreduction with HIPEC for optimal results.

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Clinical summary

Pseudomyxoma peritonei —a mucinous tumour of appendiceal origin— is treated with complete cytoreductive surgery and HIPEC, with curative potential (10-year survival above 70% in expert centres). At Quenet-Torrent Institute (Barcelona · Madrid), Dr. Quenet, Dr. Torrent and Prof. González Bayón have performed over 500 complex peritoneal procedures.

What is pseudomyxoma peritonei?

Pseudomyxoma peritonei is a rare clinical condition characterized by progressive accumulation of mucinous material in the abdominal cavity. It usually originates from a ruptured appendicular mucinous tumor, although it can also come from ovarian or other tumors.

It is a slow-growing condition that can remain indolent for years. However, without treatment, the progressive accumulation of mucin causes compression of abdominal organs, intestinal obstruction, and nutritional deterioration.

Cytoreductive surgery with HIPEC is the treatment of choice and can achieve cure rates above 80% in low-grade cases when complete resection is achieved.

Why request a second opinion for pseudomyxoma peritonei?

This rare condition requires management in specialized centers with extensive experience.

Confirm diagnosis

Confirm histological diagnosis and grade, which determines prognosis.

Evaluate resectability

Evaluate whether complete cytoreduction is achievable.

Assess optimal timing

Determine the best time for surgery based on disease burden.

Specialized center

Ensure you are treated at a center with proven experience in this rare condition.

The surgeon's experience is the most important prognostic factor.

How do we treat pseudomyxoma peritonei?

Surgical treatment is the foundation of potentially curative management.

Complete cytoreductive surgery

Removal of all visible mucinous disease and affected peritoneal surfaces.

HIPEC

Hyperthermic intraperitoneal chemotherapy to destroy microscopic residual cells.

Multivisceral resections

Removal of affected organs when necessary: omentum, spleen, gallbladder, etc.

Iterative surgery

Repeat interventions for recurrences when feasible.

The goal is complete cytoreduction (CC-0/CC-1) to maximize survival.

Technology for treating pseudomyxoma peritonei

High-complexity technology is essential in these complex surgeries.

Automated HIPEC equipment

Precise thermal and flow control for optimal perfusion.

CT/MRI imaging

Detailed preoperative evaluation of disease extension.

Tumor markers

CEA and CA 19-9 monitoring for disease follow-up.

Specialized pathology

Expert pathologists for accurate grading.

Experts in pseudomyxoma peritonei

Quenet-Torrent Institute is a reference center for this rare condition.

Complex Case Experience

We specialize in treating advanced and metastatic cancer, using complex and innovative techniques that other teams don't offer.

Comprehensive Multidisciplinary Approach

We form a team around you with surgeons, oncologists, radiologists, nutritionists, and psychologists, all working together for your cure.

Research Advances

We stay up-to-date with the latest scientific advances, allowing us to apply innovative treatments with better results.

State-of-the-Art Technology

We have facilities equipped with the most advanced medical technology, allowing us to perform high-precision procedures with less impact on the body.

Personalized and Close Care

We care about each patient as a person. We listen, support, and guide at every step of the way.

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Pseudomyxoma peritonei specialists

Every physician at Quenet-Torrent Institute is a recognized expert in their field, committed to each patient's well-being.

Dr. François Quenet

Dr. François Quenet

Oncological Surgeon

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"Internationally renowned surgeon, expert in gastrointestinal and hepatobiliary tumors. Recognized for his precision in highly difficult surgeries."
Dr. Juan José Torrent

Dr. Juan José Torrent

Oncological Surgeon

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"Specialist in gynecological tumors and peritoneal carcinomatosis. A reference in complex and personalized oncological surgery."

Where to treat pseudomyxoma peritonei?

The Quenet-Torrent team consults and operates in two leading private hospitals in Spain, and welcomes international patients with prior remote case assessment.

Barcelona

Centro Médico Teknon

Carrer de Vilana, 12 · 08022 Barcelona, Spain

  • Consultations with the Quenet-Torrent team
  • High-complexity surgical theatre and HIPEC
  • Reference private hospital in Catalonia
See Barcelona site
Madrid

Memorial Publio Cordón Hospital

Paseo de la Casa de Campo, 5 · 28223 Pozuelo de Alarcón, Madrid, Spain

  • Surgical oncology unit of the Quenet-Torrent team
  • Cytoreductive surgery, HIPEC, PIPAC and robotics
  • High-tech private hospital (2026)
See Madrid site
International

Patients from around the world

We receive patients with pseudomyxoma peritonei referred from Europe, Latin America and the Middle East.

  • Remote case assessment by our committee
  • Travel and stay coordination in Spain
  • Care in Spanish, English and French
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Frequently asked questions about pseudomyxoma peritonei

Answers to the most common questions about diagnosis, treatment, and prognosis.

Can pseudomyxoma peritonei be cured?

Yes, especially in low-grade cases with complete cytoreduction. Cure rates exceed 80% at 10 years in favorable cases.

What is the difference between low and high grade?

Low-grade tumors (DPAM) have a much better prognosis than high-grade ones (PMCA). Grading is essential.

How long does the surgery take?

Cytoreductive surgery with HIPEC can last 8-12 hours depending on disease extension.

How long is the recovery?

Hospitalization is usually 10-14 days and complete recovery 2-3 months.

What if the disease recurs?

Repeat surgeries are possible and can be effective in controlling the disease long-term.

Where can I receive this treatment safely?

In specialized centers with extensive experience in pseudomyxoma, like Quenet-Torrent Institute.

Patient testimonies and surgery explanations

Real testimonies from patients treated by our team in high-complexity surgical oncology.

Debra's case

66-year-old English woman with advanced ovarian cancer and peritoneal metastases. Treated with cytoreduction + HIPEC, she is now disease-free.

Read the full case

Rosario (Charo)'s case

73-year-old patient with advanced cancer treated with chemotherapy and high-complexity surgical oncology. Excellent survival and quality of life.

Read the full case

Laura's case

Rare abdominal tumor treated with complex cytoreductive surgery plus HIPEC and systemic chemotherapy. Disease-free after almost 2 years.

Read the full case

Santiago's case

Diagnosed with widespread peritoneal carcinomatosis and considered inoperable. After complete cytoreduction with HIPEC, today his is a story of hope and survival.

Read the full case

What our patients say

See on Google ★★★★★
L
Loreto Toscano
4 weeks ago
★★★★★

Wonderful surgical team, among the best out there. Dr. Torrent (expert in peritoneal carcinomatosis) is an exceptional surgeon and an even better person. His coordinator is super kind, fast and efficient. The human treatment is great and the results are too. This is of vital importance for cancer patients.

K
Kanijo Sánchez
5 months ago
★★★★★

In the public healthcare system they gave my father a maximum of one year to live. They only offered him chemo and no hope, said it was impossible, that nothing could be done. He had several tumors inside the peritoneal sac with metastases. A year and a half later he is clean, completely cured. His latest PET scan came back clean. We are very happy. Thanks to Dr. Torrent and his team. THANK YOU.

M
Manuel S.D.
A year ago
★★★★★

Excellent professionals, especially Dr. Torrent, attentive at all times to the patient (my wife), operated for peritoneal pseudomyxoma. They helped us with all our needs since we came from outside Barcelona. Thank you Elisabeth. We are very grateful to Quenet Torrent Institute, thank you for everything.

P
Pilar Garcés
2 years ago
★★★★★

I am a 63-year-old patient. They detected adrenal gland cancer and told me there was nothing to be done. I sought a second opinion and they told me about the Quenet Torrent team, specialists in complex operations. Dr. Torrent, from the first moment, told me they could operate. They operated and removed a large tumor mass. I spent a week in the ICU and a month on the ward. Every day he came morning and evening, no matter Saturday or Sunday. Never throw in the towel. I am happy to have found these professionals who gave me my life back. Thank you.

I
Imma Rondán
3 years ago
★★★★★

Many thanks for your attention. Dr. Torrent always attentive, involved and decisive. The reception staff very pleasant and always offering the best option. 100% RECOMMENDED. THANK YOU.

M
Mª Cristina Domínguez
5 years ago
★★★★★

Dr. Torrent helped me make the best decision at a difficult moment. I think he is a great professional and a person capable of accompanying you and putting himself in another's shoes. Thank you for everything.

F
Francisco García
6 years ago
★★★★★

I have peritoneal carcinomatosis. Sending my diagnosis to every center, practically all agreed on palliative chemo with little survival time since I had very aggressive cell types. Until we reached Dr. Quenet, Dr. Torrent and their team. I can only confirm what their CV announces: they are far ahead of the rest. They saved my life — at surgery the harmful cells everyone diagnosed (and used to refuse to operate) were not there. This intervention has become the best investment of my life.

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