Peritoneal Inclusion Cysts

Abstract

After completion of this article, the reader should be able to summarize imaging characteristics of peritoneal inclusion cysts, explain the epidemiology and risk factors for the development of peritoneal inclusion cysts, and describe possible treatment options for peritoneal inclusion cysts.

Multicystic peritoneal mesothelioma: outcomes and patho-biological features in a multi-institutional series treated by cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC)

“…Although the histological [7][8] and radiological [27] features have been extensively described, disagreement still exists regarding the natural history and treatment of choice of MCPM. Complete surgical resection has been favoured by some authors [3][4][5] and less aggressive approaches by others, due to the risk of infertility deriving from extensive pelvic surgery in women.…”

“…Complete surgical resection has been favoured by some authors [3][4][5] and less aggressive approaches by others, due to the risk of infertility deriving from extensive pelvic surgery in women. [7] Radiation, systemic or intraperitoneal chemotherapy, laser vaporization, percutaneous cyst drainage, hormone-therapy, sclero-therapy, or simple observation have been used with uncertain results. [3][4][5][6][7][8] Cytoreductive surgery and HIPEC, aiming at complete tumour eradication, is a new concept.…”

“…[7] Radiation, systemic or intraperitoneal chemotherapy, laser vaporization, percutaneous cyst drainage, hormone-therapy, sclero-therapy, or simple observation have been used with uncertain results. [3][4][5][6][7][8] Cytoreductive surgery and HIPEC, aiming at complete tumour eradication, is a new concept. Cytoreduction to microscopic or sub-millimetric tumour provides the optimal conditions for HIPEC to target minimal residual disease.…”

“…[2] Multicystic peritoneal mesothelioma (MCPM) is an exceedingly rare lesion with uncertain malignant potential and an enigmatic natural history. [3][4][5][6][7] Approximately 150 cases of MCPM have been reported in the medical literature since it was first described by…”

“…The disease shows an indolent clinical behaviour in most cases. However, early recurrences requiring multiple surgical interventions [5][6][7], transformation into truly malignant disease [9], lymph-node involvement [10] and even death [4] have been described.…”