Benign multicystic mesothelioma of appendiceal origin treated by hyperthermic intraperitoneal chemotherapy: A case report

Lee, Suk Jun; Nahm, Ji Hae; Kang, Jeonghyun; Baik, Seung Hyuk; Park, Eun Jung

doi:10.1016/j.ijscr.2022.107665

Cited by 2 publications

(21 citation statements)

References 20 publications

(21 reference statements)

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“…There are some studies showing that 30%–87% of patients who develop BMPM have had previous abdominal surgery 8. These studies support the first hypothesis which is the most widely accepted 6. The present case also had a history of total abdominal hysterectomy for myoma uteri and it supports this hypothesis.…”

Section: Discussionsupporting

confidence: 86%

“…BMPM is a rare tumour; therefore, the aetiology and pathophysiology of this disease are uncertain 7. However, there are three proposed hypotheses for the pathophysiology 6. First, BMPM is usually considered a peritoneal reaction secondary to chronic irritation 8.…”

Section: Discussionmentioning

confidence: 99%

“…First, BMPM is usually considered a peritoneal reaction secondary to chronic irritation 8. This chronic irritation causes alterations in mesothelial cells such as cell entrapment, reactive proliferation, metaplasia and cystic formation 6 8. There are some studies showing that 30%–87% of patients who develop BMPM have had previous abdominal surgery 8.…”

Section: Discussionmentioning

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%

“…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. Preoperative diagnosis of BMPM is very difficult due to its rarity, lack of specific diagnostic imaging and clinical findings.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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: Discussionsupporting

confidence: 86%