Benign Multicystic Peritoneal Mesothelioma in a Male Patient with Previous Wilms’ Tumor: A Case Report and Review of the Literature

Canu, Gian Luigi; Medas, Fabio; Columbano, Giulio; Gordini, Luca; Saba, Luca; Erdas, Enrico; Calò, Pietro Giorgio

doi:10.1155/2018/4324986

Cited by 5 publications

(5 citation statements)

References 34 publications

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“…Our case contributes to the rare instances of BMPM in men [ 13 ] and the uncommon cases of BMPM in patients with the diverticular disease [ 14 , 15 ]. It is plausible that serosal inflammation secondary to diverticulitis provided a reactive milieu for the development of BMPM, considering that our patient had no other risk factors.…”

Section: Discussionmentioning

confidence: 87%

Benign Multicystic Peritoneal Mesothelioma Presenting as a Colonic Mass

Pierre

Gomez

Bing

et al. 2021

Cureus

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Benign multicystic peritoneal mesothelioma (BMPM) is a rare neoplasm of the abdominal mesothelium (i.e., peritoneum, mesentery, and omentum). We present the case of a 74-year-old male who presented with a right paracolic gutter fluid collection and cystic mass. The patient underwent diagnostic laparoscopy with resection of the mass. The final pathology revealed BMPM. The pathogenesis may have been related to longstanding diverticular disease, which could prove to be an underrecognized risk factor for the development of BMPM. Therefore, this case suggests a broadened differential diagnosis to include BMPM in specific cases of pre-operatively diagnosed colonic masses. The patient is disease-free 11 months postoperatively.

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Section: Discussionmentioning

confidence: 87%

Benign Multicystic Peritoneal Mesothelioma Presenting as a Colonic Mass

Pierre

Gomez

Bing

et al. 2021

Cureus

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“…Benign multicystic peritoneal mesothelioma (BMPM), first described by Plaut in 1928, 1 is a rare peritoneal tumor that arises from the peritoneal mesothelial cells. To date, there are less than 200 documented cases worldwide, 2 and it accounts for approximately 3-5% of the peritoneal mesotheliomas.…”

Section: Discussionmentioning

confidence: 99%

“…3 The pathogenesis of BMPM remains to be elucidated. Due to its association with pelvic inflammatory disease (PID), endometriosis, leiomyoma, and a history of previous surgery, 1,3,4 some authors believe that it has a possible reactive etiology. 5 One of the hypotheses states that chronic peritoneal inflammation triggers the proliferation and migration of peripheral mesothelial cells and associated connective tissue, giving rise to these cysts.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is considered the mainstay of treatment by most because of its high overall recurrence rate of 50-60% after the resection, with 33% in men and 50% in women. 1 This high recurrence rate also warrants an intense surveillance schedule after the primary resection. For surveillance, some authors suggest that CT should be done every 3 months for the first year after resection and then annually for the next 5 years.…”

Section: Discussionmentioning

confidence: 99%

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Benign multicystic peritoneal mesothelioma: literature review and update

Chand¹,

Edens²,

Lin³

et al. 2020

Autops. Case Rep.

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Benign multicystic peritoneal mesothelioma (BMPM) is a rare peritoneal tumor diagnosed predominantly in pre-menopausal women. Associated risk factors include endometriosis and pelvic inflammatory disease in women, and prior abdominal surgery in both genders. To date, the pathogenesis of this disease remains controversial with possible etiologies, including a neoplastic versus a reactive process. Given the risk factors, some authors believe that this disease is secondary to a reactive process. However, because some studies describe cases where there is no prior surgical history or inflammatory milieu present, and because of this entity's predilection for recurrence, some authors believe the origin to be neoplastic. Some genetic and familial associations have also been reported. Malignant transformation is extremely rare, with only two cases reported in the literature, despite the recurrence potential. Like the etiology, the name of this entity is also controversial. Some authors prefer the term "peritoneal inclusion cyst (PCM)" instead of "benign cystic mesothelioma" and argue that the term mesothelioma should only be used when there is evidence of atypia. Most cases of BMPM are discovered incidentally. Others reflect sequela of tumor mass effect. It appears intra-operatively as large, multi-focal, cystic lesions in the peritoneal and pelvic cavity. Diagnosis is achieved through surgical sampling with histopathological examination. Immunobiologically, BMPM exhibits multiple small cystic spaces with flattened lining containing calretinin positive cells without atypical features, mitotic figures, or tissue invasion. Treatment includes cytoreductive surgery. Here we present a case of BMPM in a 60-year-old male-a rare disease in an uncommon patient population.

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“…It occurs mainly in women of childbearing age and is under the influence of female hormones [3]. But cases in young men have been reported [4,5]. Malignant transformation has been reported [6].…”

Section: Commentsmentioning

confidence: 99%

Multicystic Peritoneal Mesothelioma (MPM): Need And Place Of Second Look

Berkane¹,

Taib²,

Belhouas³

et al. 2023

JCTR

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Multicystic peritoneal mesothelioma (MPM) is a rare and benign condition. Its treatment is surgical. After surgical resection, MPM tends to recur in the peritoneal cavity. Our observation concerns a 30-year-old patient with a history of non-specific abdominal pain evolving for a year. She was operated on urgently and benefited from a resection of cystic lesions disseminated in the peritoneal cavity in addition to an appendectomy. The peritoneal cancer index (PCI) was estimated at 12 points. The postoperative course was simple. The histological study was in favor of a multicystic peritoneal mesothelioma. Despite the fact that the patient was asymptomatic and a normal CT scan 3 months postoperatively, a second look was retained and the patient was operated on again. Residual cystic lesions of 04 to 15mm were highlighted and resected. This surgery was associated with intraperitoneal chemotherapy based on 150mg of Cisplatin over 5 days. The postoperative course was simple and the patient was discharged from the service on the 10th postoperative day. A third intervention by laparoscopic approach was carried out five years later for the exploration of primary sterility. The latter found a cyst of the left ovary and a hydrosalpinx which were resected. She is alive and without recurrence at 108 months. Conclusion:Faced with MPM for which there is doubt about radical resection, additional surgery using a second look should be considered. This attitude makes it possible to avoid residual recurrence, which is quite frequent in this disease.

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Benign Multicystic Peritoneal Mesothelioma in a Male Patient with Previous Wilms’ Tumor: A Case Report and Review of the Literature

Cited by 5 publications

References 34 publications

Benign Multicystic Peritoneal Mesothelioma Presenting as a Colonic Mass

Benign Multicystic Peritoneal Mesothelioma Presenting as a Colonic Mass

Benign multicystic peritoneal mesothelioma: literature review and update

Multicystic Peritoneal Mesothelioma (MPM): Need And Place Of Second Look

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