Benign multi-cystic peritoneal mesothelioma of the porta hepatis

Aziz, Hassan; Hao, Michelle; Merchant, Alam; Alfson, Daniel B.; Foran, Chris; Sheikh, Mohd Raashid

doi:10.1016/j.ijscr.2020.08.047

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…It has been reported that surgical resection alone of BMPM leads to around 50% of recurrence. Addition of HIPEC is superior to surgical resection alone as the recurrence rate of the disease decreases to 0%-21% [ 11 , 16 - 17 ]. The surgeon and the institution should be trained, equipped, and planned to administer this therapy.…”

Section: Discussionmentioning

confidence: 99%

Intra-Operative Diagnosis of Benign Multicystic Peritoneal Mesothelioma: A Case Report of Rare Entity and Lessons Learned

Wu,

Bassi,

Onitilo

et al. 2024

Cureus

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Benign multicystic peritoneal mesothelioma (BMPM), also known as multicystic peritoneal mesothelioma (MCPM), is a rare cystic neoplasm arising from the mesothelium lining of the abdominal and pelvic peritoneum. This entity has been disproportionately described in women of reproductive age. Both the etiology and pathogenesis of the condition are not well understood. Preoperative diagnosis is challenging as differentials are varied and include endometriosis, lymphangioma, pseudomyxoma peritonei, cystic adenomatoid tumor, and malignant peritoneal mesothelioma. Management options include cytoreductive surgery (CRS) with or without heated intraperitoneal chemotherapy (HIPEC). In this case report, we highlight the complexity of preoperative diagnosis, presentation, workup, treatment, and management of BMPM. We report the case of a female patient presenting with abdominal pain and imagining consistent with cystic intra-abdominal lesions. After an inconclusive percutaneous biopsy and a multi-disciplinary tumor board discussion, the patient was offered CRS with HIPEC. Intra-operative frozen section indicated benign epithelial lined cysts. CRS and HIPEC were performed. After a second opinion, the lesions were confirmed by pathology and immunohistochemistry to be BMPM. In this report, we discuss the gold standard of care for patients with BMPM to improve the disease control rate. This pathway is proposed in our study, and, thus, we conclude that BMPM should be considered in the differential diagnosis of patients presenting with symptomatic multiple intraperitoneal cystic lesions.

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Section: Discussionmentioning

confidence: 99%

Intra-Operative Diagnosis of Benign Multicystic Peritoneal Mesothelioma: A Case Report of Rare Entity and Lessons Learned

Wu,

Bassi,

Onitilo

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…Although BMPM is generally considered to be benign because no cellular or nuclear atypia is seen by histological examination,[ 1 2 ] the local recurrence rate has been reported to be high. [ 3 4 ] It was reported that the timing of recurrence of BMPM ranged from early to late (from 1 month to 36 years) after surgical treatment.…”

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confidence: 99%