Laparoscopic treatment of retroperitoneal cystic mesothelioma. Two cases reported

Artero, Sonia Morales; Pavón, Camilo J. Castellón; Mora, Elena; Guijarro, José María de Jaime; Vásquez, Carlos García; Serrano, Montserrat Calvo

doi:10.1016/j.ijscr.2016.10.043

Cited by 6 publications

(6 citation statements)

References 22 publications

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“…Cystic mesothelioma (CM) is a rare lesion that has a predilection for middle-aged women, when it occurs in the abdomen, it is more commonly found in the pelvic space rather than the retroperitoneum [ 18 ]. On MRI, CM typically appears as a hypointense and hyperintense cystic mass on T1- and T2-weighted images, respectively, with minimal to a mild peripheral wall and septal enhancement [ 19 ]. Myxoid liposarcoma is seen in younger populations, with the incidence peaking in the fourth to fifth decades of life.…”

Section: Clinical Discussionmentioning

confidence: 99%

Giant retroperitoneal myxoma: A case report and literature review

Zhang

Song

Zhu

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Myxoma is a benign tumor and is mesenchymal in origin. Myxomas of the retroperitoneum are extremely rare entities. Case presentation We here report a case of a 67-year-old male who presented with progressive abdominal distention for 3 years. Laboratory investigations revealed a reduction in erythrocytes, lymphocytes, hemoglobin, and an elevation in carbohydrate antigen 19-9. Imaging findings showed a multilocular cystic mass in the right abdomen with thin septa and internal calcifications. Laparotomy revealed that the mass had arisen from the retroperitoneum and the histological study suggested the diagnosis of myxoma. Discussion Myxoma features as a “cystic mass” in imaging studies. Therefore, the possibility of a cystic lymphangioma, cystic mesothelioma and myxoma should be considered when a multicystic lesion in the retroperitoneal space is observed. Due to the rarity of retroperitoneal myxomas and lack of specific manifestations and diagnostic methods, preoperative diagnosis is often delayed or incorrect. And until now, only a few cases of retroperitoneal myxoma have been reported. Conclusion The report will increase the understanding of the diagnosis and treatment of retroperitoneal myxomas. A brief review of the related literature was also carried out.

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Section: Clinical Discussionmentioning

confidence: 99%

Giant retroperitoneal myxoma: A case report and literature review

Zhang

Song

Zhu

et al. 2021

International Journal of Surgery Case Reports

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“…Surgical excision is the treatment of choice of MCPM, either by laparoscopy or by laparotomy. 40,41 However, laparoscopy may underestimate the extent of peritoneal carcinosis. 42 MCPM is considered as a borderline tumor with a risk of neoplasic transformation.…”

Section: Discussionmentioning

confidence: 99%

Multicystic and diffuse malignant peritoneal mesothelioma in children

Vermersch

Arnaud

Orbach

et al. 2020

Pediatric Blood & Cancer

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Background: Malignant and multicystic peritoneal mesotheliomas are extremely rare tumors in children, developing from mesothelial cells. No specific guidelines are available at this age. Methods: We performed a retrospective analysis of all identified children (< 18-year-old) treated in France from 1987 to 2017 for a diffuse malignant peritoneal mesothelioma (DMPM) or a multicystic peritoneal mesothelioma (MCPM). Results: Fourteen patients (5 males and nine females), aged 2.2 to 17.5 years, were included. The most frequent presenting symptoms were abdominal pain, ascitis, and alteration in the general condition. Eight patients had epithelioid mesothelioma, three had biphasic mesothelioma, and three had MCPM. Eight patients with DMPM diagnosis received cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC). Among them, six patients had neoadjuvant systemic chemotherapy, one patient, post-operative chemotherapy, and one patient CRS and HIPEC only. Three patients received only systemic chemotherapy. All patients with MCPM had only surgery. After a median follow-up of seven years (2-15), six patients (6/11; one death) with DMPM and two patients (two/three) with MCPM had a local and distant recurrences. Conclusion: Peritoneal mesothelioma in children is a rare condition with difficult diagnosis and high risk of recurrence. Worldwide interdisciplinary collaboration and networking are mandatory to help diagnosis and provide harmonious treatment guidelines.

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“…Aspiration of its content can reveal the epithelial cell type that may help in determining the histological subtype, however, it is not routinely done as its sensitivity and specificity has been reported low. Additionally, it carries the risk of leakage of the cyst content into the peritoneal space leading a serious pseudomyxoma peritonei or seeding of cells in case of malignancy [11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Some authors reported the use of the SAND balloon catheter, a specially designed catheter which was first described by Ikuma et al in 1998 for laparoscopic ovarian cystectomy [13]. Recurrence rate was reported in 25% in a case series, however, there is no accurate figures in the literature as cases are sporadically reported [1,3,12].…”

Section: Discussionmentioning

confidence: 99%

Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report

Foula

AlQattan

Alqurashi

et al. 2019

International Journal of Surgery Case Reports

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Highlights Retroperitoneal cystic lesions are uncommon heterogeneous clinical entities with no clear pathogenesis. Their clinical presentations are different with challenging diagnosis. Many cases may be discovered incidentally. Care must be taken during the operation not to cause spillage of its content. Laparoscopic excision is technically challenging but can be done safely by experienced laparoscopic surgeon.

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Laparoscopic treatment of retroperitoneal cystic mesothelioma. Two cases reported

Abstract: HighlightsA very rare type of retroperineal malignant cyst tumor is presented on two cases.A very rare type of Mesothelioma tumor is presented on two cases.A minimal invasive type of treatment is proposed instead of the regular open surgery.A small literature review was performed.

Cited by 6 publications

References 22 publications

Giant retroperitoneal myxoma: A case report and literature review

Giant retroperitoneal myxoma: A case report and literature review

Multicystic and diffuse malignant peritoneal mesothelioma in children

Incidentally discovered huge retroperitoneal mucinous cystadenoma with successful laparoscopic management: Case report

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