Benign Multicystic Peritoneal Mesothelioma: A Rare Tumour of the Abdomen

Somasundaram, Soundappan; Khajanchi, Monty; Vaja, Tejas; Jajoo, Bhushan; Dey, Amit

doi:10.1155/2015/613148

Cited by 7 publications

(16 citation statements)

References 12 publications

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“…La hipótesis inflamatoria postula que el origen de este tumor estaría en directa relación con inflamación crónica peritoneal, historia de cirugías previas o enfermedad inflamatoria pélvica 1,5,8 . El diagnóstico preoperatorio es complejo 3 y requiere de un alto índice de sospecha 9 . En la mayoría de los casos el MMPB no produce síntomas y puede adherirse a órganos vecinos 1 .…”

Section: Discussionunclassified

“…En relación a lesiones benignas, los diagnósticos diferenciales más importantes incluyen el linfangioma quístico o tumor adenomatoide, mientras que el diagnóstico diferencial con respecto a lesiones malignas incluye al mesotelioma maligno y tumores serosos que invaden el peritoneo 1,4 . Finalmente, el diagnóstico definitivo sólo se puede determinar a través de la histopatología 3,9 , donde puede observarse metaplasia adenomatoidea focal o escamosa 7 . El uso de tinciones de inmunohistoquímica específicas para células mesoteliales, como la calretinina y citoqueratina 5/6, permite la distinción entre MMPB y otras entidades 3,5 .…”

Section: Discussionunclassified

“…La cirugía ha mostrado ser el único tratamiento efectivo para el MMPB y consiste en la resección completa de la lesión quística 1,3,9 . Aunque el pronóstico es favorable, la recurrencia puede alcanzar entre el 27-75% [3][4][5]10 , probablemente por la persistencia del factor causante original 5 .…”

Section: Discussionunclassified

“…Aunque el pronóstico es favorable, la recurrencia puede alcanzar entre el 27-75% [3][4][5]10 , probablemente por la persistencia del factor causante original 5 . Esta evolución, plantea la necesidad de un seguimiento sistemático prolongado, probablemente de por vida 3,5,9 . En ese sentido, nuestro paciente no sólo necesitará un seguimiento cercano, sino deberá tener un tratamiento óptimo de su EC, la cual, en teoría, podría haber jugado un rol en el desarrollo o evolución del MMPB.…”

Section: Discussionunclassified

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Mesotelioma benigno como causa de dolor abdominal inespecífico en un paciente con Enfermedad de Crohn

et al. 2016

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Section: Discussionunclassified

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Mesotelioma benigno como causa de dolor abdominal inespecífico en un paciente con Enfermedad de Crohn

et al. 2016

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“…Abdominopelvic ultrasound, computerised tomography with contrast, or MRI may help, but in most cases the diagnosis can only be made during surgery. Although fine-needle aspiration can be used as a diagnostic tool, in most cases, this method does not allow us to reach a definitive diagnosis [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic peritoneal carcinomatosis originating from benign cystic peritoneal mesothelioma

Iacoponi¹,

Calleja²,

Hernández³

et al. 2015

ecancer

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Benign multicystic mesothelioma is a rare tumour that originates from the abdominal peritoneum with a predisposition to the pelvic peritoneum. It typically affects women of reproductive age. There have been less than 200 cases of this rare neoplasia reported to date.We present the case of a 35-year-old woman who was referred to our centre because of the detection of a peritoneal carcinomatosis during a gynaecological exam. A diagnostic laparoscopy was performed. The findings included multiple cysts appearing as ‘a bunch of grapes’ occupying the omentum. Biopsies were taken during the surgery and the results showed benign multicystic peritoneal mesothelioma.Benign multicystic mesothelioma can simulate other conditions, such as malignant ovarian tumours or cystic lymphangioma. It is often diagnosed accidentally during surgery performed for another reason. The diagnosis is interoperative, observing multicystic structures grouped as a ‘bunch of grapes’ containing clear fluid with thin walls made of connective tissue. Immunohistochemistry confirmed mesothelial origin. Surgery is considered the treatment of choice and is based on the removal of the cysts from the abdominal cavity.Hyperthermic intraperitoneal chemotherapy can be considered as a primary treatment in patients with recurrences or even as a part of primary treatment associated with surgery. Survival at 5 years is 100% and invasive or malignant progression is extraordinary. The treatment approach should be multidisciplinary, and the patient should be referred to a referral centre.

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Benign multicystic mesothelioma and peritoneal inclusion cysts: are they the same clinical and histopathological entities? A systematic review to find an evidence-based management

Rapisarda

Cianci

Caruso

et al. 2018

Arch Gynecol Obstet

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PMC are more common than had previously been thought. Most authors consider them non-neoplastic; thus the designation of "peritoneal inclusion cyst" is preferable. The term "mesothelioma" should be used only in cases of histological evidences of atypia. The high rates of recurrence suggest that the goal of treatment should not be necessarily complete eradication, but symptomatic relief through individualized treatment. This is a topic of particular importance, especially in young female where recurrence rates could be lower than those reported in adults and where an improperly aggressive treatment could have repercussions on fertility.

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Benign Multicystic Peritoneal Mesothelioma: A Rare Tumour of the Abdomen

Abstract: Benign multicystic peritoneal mesothelioma: a rare tumor of the abdomen, is a diagnostic dilemma. This report emphasizes the importance of diagnostic laparoscopy in the diagnosis of the tumour.

Cited by 7 publications

References 12 publications

Mesotelioma benigno como causa de dolor abdominal inespecífico en un paciente con Enfermedad de Crohn

Mesotelioma benigno como causa de dolor abdominal inespecífico en un paciente con Enfermedad de Crohn

Asymptomatic peritoneal carcinomatosis originating from benign cystic peritoneal mesothelioma

Benign multicystic mesothelioma and peritoneal inclusion cysts: are they the same clinical and histopathological entities? A systematic review to find an evidence-based management

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