Benign Multicystic Peritoneal Mesothelioma Mimicking Gynecologic Pathology

Alvir, Ilija

doi:10.20471/acc.2021.60.02.22

Cited by 5 publications

(5 citation statements)

References 10 publications

(24 reference statements)

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“…Especially, the D2-40 stain can strongly promote a diagnosis of BMPM, associated with specificity for mesothelial cells 8. However, there is no immunoreactivity for endothelial markers such as CD31 and CD34 and factor VIII 1 2 4–6. In the present case, while the immunohistochemical staining was positive for WT1, calretinin and D2-40, it was negative for other factors such as CD31, CD34 and factor VIII.…”

Section: Discussionmentioning

confidence: 44%

“…Although CT scan cannot differentiate BMPM from other cystic lesions, it is used to determine the location and extent of the multicystic lesion and BMPM usually appears as a low-density, multiloculated, thin-walled multicystic lesion on CT scan 6 8. MRI is the best imaging technique for peritoneal mesotheliomas because it can describe the peritoneal origin of the lesions, distinguish BMPM from other cystic lesions and detect other lesions 5 6 8. BMPM appears T1 hypointense, T2 hyper-to-intermediate intense, thin-walled multiloculated cystic lesions with mild contrast enhancement of the wall 1 6 8.…”

Section: Discussionmentioning

confidence: 99%

“…Peritoneal mesothelioma is more common in men, while BMPM is more common in young and middle-aged women 1. BMPMs are generally asymptomatic and it is found incidentally during routine diagnostic imaging tests or surgical procedures in the abdomen 5. Besides, they can cause non-specific abdominal pain and discomfort, bloating, constipation, deep pelvic pain, dyspareunia, incontinence and anorexia if their sizes increase 2.…”

Section: Introductionmentioning

confidence: 99%

“…Besides, they can cause non-specific abdominal pain and discomfort, bloating, constipation, deep pelvic pain, dyspareunia, incontinence and anorexia if their sizes increase 2. Considering that BMPM is often found in the pelvis, it is difficult to differentiate from other pelvic and abdominal lesions, such as cystic lymphangioma, cystic adenomatoid tumours, malignant peritoneal mesothelioma, mesenteric and omental cysts, cystic endosalpingiosis and cystic ovarian masses, especially mucinous cystadenoma–adenocarcinoma, pseudomyxoma peritonei, endometriosis or peritoneal hydatidosis 1 2 5–9. Although there is no evidence-based guideline for treatment, it is usually considered that surgical resection with hyperthermic intraperitoneal chemotherapy (HIPEC) is the best option 6.…”

Section: Introductionmentioning

confidence: 99%

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Benign multicystic peritoneal mesothelioma mimicking mucinous ovarian neoplasm with pseudomyxoma peritonei

et al. 2023

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Cystic mesothelioma, also known as benign multicystic peritoneal mesothelioma (BMPM), is a rare neoplasm and one of the five main histological types of peritoneal mesothelioma. Although it is usually considered benign histologically, it is increasingly accepted as a ‘borderline malignancy’ because the local recurrence rate is high. It is more common in middle-aged women and is generally asymptomatic. Considering that BMPM is often found in the pelvis, it is difficult to differentiate from other pelvic and abdominal lesions, such as cystic ovarian masses, especially mucinous cystadenoma–adenocarcinoma, pseudomyxoma peritonei, etc. Preoperative diagnosis is very difficult due to its rarity and lack of specific diagnostic imaging and clinical findings. Definitive diagnosis is made only by pathological evaluation. In this article, we aimed to present the imaging findings of a BMPM case in a woman who was diagnosed with mucinous ovarian neoplasm with pseudomyxoma peritonei preoperatively and underwent cytoreductive surgery with hyperthermic intraperitoneal chemotherapy.

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Section: Discussionmentioning

confidence: 44%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Benign multicystic peritoneal mesothelioma mimicking mucinous ovarian neoplasm with pseudomyxoma peritonei

et al. 2023

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“…MPM is a benign condition whose etiology is currently unknown and only hypotheses are put forward. 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].…”

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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Rare Variants of Malignant Peritoneal Mesothelioma: a Literature Review

Chatterjee

Bhatt²

2023

Indian J Surg Oncol

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Benign Multicystic Peritoneal Mesothelioma Mimicking Gynecologic Pathology

Cited by 5 publications

References 10 publications

Benign multicystic peritoneal mesothelioma mimicking mucinous ovarian neoplasm with pseudomyxoma peritonei

Benign multicystic peritoneal mesothelioma mimicking mucinous ovarian neoplasm with pseudomyxoma peritonei

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

Rare Variants of Malignant Peritoneal Mesothelioma: a Literature Review

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