Malignant and Borderline Mesothelial Tumors of the Pleura

Wick, Mark R.; Leslie, Kevin O.; Ritter, Jon H.; Mills, Stacey E.

doi:10.1016/b978-0-323-44284-8.00021-1

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2022

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“…Unfortunately, our case does not fit these categories due to the type of cyst content and the cyst’s histological manifestation and anatomical location. The negative result for podoplanin (D2–40) excludes a lymphatic origin [ 8 ]. A retroperitoneal bronchogenic origin was considered due to the patient’s history of a tracheoesophageal fistula but was excluded because of a lack of glands, cartilage and respiratory epithelium [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

A huge retroperitoneal cyst with a rare clinical presentation

Alqaisi

Wanders

Naujokaite

et al. 2022

Journal of Surgical Case Reports

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A 39-year-old male presented with deep venous thrombosis in the right lower limb. He had been experiencing increasing abdominal girth over several years, but this went undetected at the initial examination. Eighteen months later, a computed tomography was conducted, showing a huge retroperitoneal cyst (25 × 23 × 16 cm) lifting the right external iliac vessels. Complete surgical excision of the cyst was performed. The cyst was unilocular and contained 5 l of clear fluid. Histopathology examination found a thin cyst wall consisting of fibrous stromal tissue with a single-layer epithelium lining. Immunohistochemical staining revealed positivity for endothelial cell markers, CD31 and CD34, but negativity for the lymphatic marker podoplanin (D2–40), corresponding to a vascular origin, likely a venous malformation.

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Section: Discussionmentioning

confidence: 99%