Benign multicystic peritoneal mesothelioma

Jerbi, M.; Hidar, Samir; Ziadi, Sonia; Khairi, H

doi:10.1016/j.ijgo.2006.03.013

Cited by 20 publications

(17 citation statements)

References 4 publications

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“…Multiloculated cysts (which may grow up to 15 cm) are located mainly in the pelvis, but can extend into the abdominal cavity or present with free floating cysts. [87] When present in peritoneal washings these cytologic preparations are usually hypercellular, formed by a population of mesothelial and squamous metaplastic cells. The mesothelial cells can be arranged in different patterns, and form large monolayered clusters or variably sized clusters of cells, as well as manifest with just single isolated cells.…”

Section: Introductionmentioning

confidence: 99%

Abdominopelvic washings: A comprehensive review

Rodrı́guez¹,

Khalbuss²,

Austin³

et al. 2013

CytoJournal

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Intraperitoneal spread may occur with gynecological epithelial neoplasms, as well as with non-gynecological malignancies, which may result in serosal involvement with or without concomitant effusion. Therefore, washings in patients with abdominopelvic tumors represent important specimens for cytologic examination. They are primarily utilized for staging ovarian cancers, although their role has decreased in staging of endometrial and cervical carcinoma. Abdominopelvic washings can be positive in a variety of pathologic conditions, including benign conditions, borderline neoplastic tumors, locally invasive tumors, or distant metastases. In a subset of cases, washings can be diagnostically challenging due to the presence of co-existing benign cells (e.g., mesothelial hyperplasia, endosalpingiosis, or endometriosis), lesions in which there is only minimal atypia (e.g., serous borderline tumors) or scant atypical cells, and the rarity of specific tumor types (e.g., mesothelioma). Ancillary studies including immunocytochemistry and fluorescence in situ hybridization may be required in difficult cases to resolve the diagnosis. This article provides a comprehensive and contemporary review of abdominopelvic washings in the evaluation of gynecologic and non-gynecologic tumors, including primary peritoneal and mesothelial entities.

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Section: Introductionmentioning

confidence: 99%

Abdominopelvic washings: A comprehensive review

Rodrı́guez¹,

Khalbuss²,

Austin³

et al. 2013

CytoJournal

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“…14,19,20 An association with hormonal stimulation has been reported and has led to potential adjuvant treatment modalities. 20,21 In 2006, Jerbi et al reported a case of a large pelvic MPM arising in a 34-year-old pregnant female. 21 The tumor was resected, but she experienced a rapid recurrence necessitating termination of the pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…20,21 In 2006, Jerbi et al reported a case of a large pelvic MPM arising in a 34-year-old pregnant female. 21 The tumor was resected, but she experienced a rapid recurrence necessitating termination of the pregnancy. Interestingly, this patient had a history of cesarean section delivery, a more frequently cited risk factor for the development of MPM.…”

Section: Discussionmentioning

confidence: 99%

Cytomorphologic characteristics of fine needle core biopsy of multicystic peritoneal mesothelioma: A case report and review of the literature

Kemp

Nayar

Frias

et al. 2009

Diagnostic Cytopathology

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Multicystic peritoneal mesothelioma (MPM) is an uncommon cystic mesothelial proliferative lesion. It occurs predominantly in women of reproductive age and most commonly arises in the pelvis. The preoperative diagnosis of MPM is difficult to establish based on clinical and radiographic findings, and has therefore traditionally been diagnosed following surgical resection. Due to differing management of MPM and its differential diagnoses including both benign and malignant lesions, it would be beneficial to diagnose MPM preoperatively. We report a case of MPM in a middle aged female that was diagnosed by fine needle core biopsy and touch preparations, allowing for appropriate clinical management. The cytomorphologic features of needle core biopsy, immunocytochemical studies and differential diagnosis are discussed. Furthermore, despite its infrequency, the current case emphasizes the importance of the inclusion of this entity in the differential diagnosis of cystic lesions of the abdomen and pelvis at the time of on-site evaluation and final diagnosis, in order to avoid misinterpretation of strips of benign mesothelial cells as inadequate for diagnosis.

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“…3,4,[7][8][9][10][11][14][15][16][17][18][19][20][21][22][23][24] The few large series are from pathologist/consultant fi les, with patients being from different institutions, and there is inadequate clinical information and follow-up for most of the cases. 1,2,6 Therefore, this disease is classifi ed as an exceedingly rare medical entity (annual incidence of 0.15/100 000 population), which challenges its origin, pathogenesis, diagnosis, and pathology.…”

Section: Discussionmentioning

confidence: 99%

“…The lesion most commonly occurs in women in the reproductive age group with a history of previous abdominal surgery (60%), endometriosis (36%), or pelvic infl ammatory disease (28%), 2 but cases involving men, 1,3-6 and children, 6 as well as rare extraabdominal sites 7-10 exist. Although a history of a previous cesarean section in a patient with BMM has been reported, 6,11 to the best of our knowledge, there is no report of a BMM arising in a cesarean-section scar or presenting as a fungating skin mass. We report such a case, which presented as a fungating mass through the anterior abdominal wall and arose in a cesarean-section scar without peritoneum involvement.…”

mentioning

confidence: 89%

Benign multicystic peritoneal mesothelioma in a cesarean-section scar presenting as a fungating mass

et al. 2008

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We report a case of a benign multicystic mesothelioma, which presented as a fungating mass through the anterior abdominal wall and arose in a cesarean-section scar without direct peritoneal involvement. A wide local excision was done and the diagnosis was confirmed by histopathology and immunohistochemistry. The postoperative course was uneventful and the patient is asymptomatic at 3 years' follow-up. Although a history of previous abdominal surgery has been reported in a patient with benign multicystic mesothelioma, to the best of our knowledge, there is no report of a benign multicystic mesothelioma arising in a cesarean-section scar or presentation as a fungating skin mass. This unusual presentation may point to a traumatic or inflammatory etiology, although seeding of the wound during the previous surgeries is a more likely postulate. A pertinent review of the literature on benign multicystic mesothelioma is also presented.

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Benign multicystic peritoneal mesothelioma

Cited by 20 publications

References 4 publications

Abdominopelvic washings: A comprehensive review

Abdominopelvic washings: A comprehensive review

Cytomorphologic characteristics of fine needle core biopsy of multicystic peritoneal mesothelioma: A case report and review of the literature

Benign multicystic peritoneal mesothelioma in a cesarean-section scar presenting as a fungating mass

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