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McGahan W, Lah K, Iyengar K, Naidu S. Benign multi-cystic peritoneal mesothelioma discovered at the time of acute appendicitis: a rare pathology in association with a common disease. ANZ J Surg 2022; 92:3055-3057. [PMID: 35170836 DOI: 10.1111/ans.17524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 01/20/2022] [Indexed: 11/28/2022]
Affiliation(s)
- William McGahan
- Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Kevin Lah
- Department of General Surgery, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Krishnan Iyengar
- Department of Anatomical Pathology, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia
| | - Sanjeev Naidu
- Department of General Surgery, Princess Alexandra Hospital, Brisbane, Queensland, Australia
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2
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Hamza A, Zazo A, Alrifai MK, Khoja S, Shebli B, Fattal F, Alyousfi R, Trissi M. Benign multicystic peritoneal mesothelioma (BMPM) presenting with ambiguous symptoms: A rare case report. Ann Med Surg (Lond) 2020; 61:85-87. [PMID: 33391761 PMCID: PMC7773565 DOI: 10.1016/j.amsu.2020.12.022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 12/12/2020] [Accepted: 12/15/2020] [Indexed: 01/05/2023] Open
Abstract
Introduction Benign multicystic peritoneal mesothelioma (BMPM) represents a very rare clinical entity, with only 130 registered cases in the medical literature, therefore it is usually overlooked from the list of differential diagnoses. The treatment consists of surgery and other authors suggest complementing it with hyperthermic intraperitoneal chemotherapy. Presentation of case A 25-year-old multiparous female experienced periodic abdominal discomfort for two weeks. She developed constipation, urinary urgency, and irregular menstruation. Family history was remarkable for endometrial and breast cancer. Abdominal examination revealed a palpable mass. Abdominal ultrasound and computed tomography scan identified the multicystic appearance of the mass. The diagnosis was unclear, therefore exploratory laparotomy was performed, which revealed multiple grape-like clusters of cysts that were excised immediately. BMPM was diagnosed based on the pathology report. Eventually, the follow-up did not reveal any recurrence. Discussion Mesothelial tumors include three pathological entities, including Benign multicystic peritoneal mesothelioma (BMPM). BMPM is an uncommon neoplasm and has a high recurrence rate after surgery. BMPM consists of clear cysts that take the shape of a grape-like cluster. Clinically, BMPM resembles a tangible abdominal mass and it is challenging to be diagnosed, due to its numerous differential diagnoses. Conclusion The definitive diagnosis of intraperitoneal cystic masses is usually challenging. Therefore, BMPM -although very rare- should always be thought of when dealing with an intraperitoneal cystic mass, especially in women in the reproductive years. In our case cytoreductive surgery solely was sufficient to achieve a disease free follow up, however, further studies regarding treatment and follow-up are required. The incidence of Benign multicystic peritoneal mesothelioma (BMPM) is exceptionally rare. Pathological evaluation is considered the best technique to diagnose. BMPM is most common in women in reproductive age. BMPM should be considered as a differential diagnosis for abdominal masses.
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Affiliation(s)
| | - Aya Zazo
- University of Aleppo, Aleppo, Syria
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3
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Yoshida K, Miyoshi T, Murakami T. Multicystic peritoneal tumor in two layer hens. J Vet Med Sci 2020; 82:294-298. [PMID: 31932520 PMCID: PMC7118477 DOI: 10.1292/jvms.19-0615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
In chicken, peritoneal cystic lesions have not been clearly categorized. In this study,
diffuse peritoneal multiple cysts were observed in two layer hens. The cysts in the serosa
were lined with single layers of squamous or cuboidal cells. The papillary proliferations
of columnar cells were also observed in one case. The smooth muscle layer or mass were
observed around the cysts in both cases. The cystic lining cells were positive for
pan-cytokeratin, vimentin, S100 and Wilms tumor 1. Ultrastructurally, they had sparsely
microvilli on the luminal surface. The histological results indicated the present cases
were multicystic mesothelioma, but also had characteristics of Mullerian epithelium. This
is the first report describing the detailed pathological feature of unique multicystic
tumor in chicken.
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Affiliation(s)
- Keiko Yoshida
- Fukuoka Prefecture Meat Safety Inspection Center, 4-5-34 Futsukaichi Chuo, Chikushino-shi, Fukuoka 818-0072, Japan
| | - Tomoyuki Miyoshi
- Laboratory of Veterinary Toxicology, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo 183-8509, Japan
| | - Tomoaki Murakami
- Laboratory of Veterinary Toxicology, Tokyo University of Agriculture and Technology, 3-5-8 Saiwai-cho, Fuchu-shi, Tokyo 183-8509, Japan
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4
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Rapisarda AMC, Cianci A, Caruso S, Vitale SG, Valenti G, Piombino E, Cianci S. Benign multicystic mesothelioma and peritoneal inclusion cysts: are they the same clinical and histopathological entities? A systematic review to find an evidence-based management. Arch Gynecol Obstet 2018; 297:1353-1375. [PMID: 29511797 DOI: 10.1007/s00404-018-4728-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2017] [Accepted: 02/28/2018] [Indexed: 10/25/2022]
Abstract
PURPOSE Peritoneal mesothelial cysts (PMC) are a clinical dilemma because of their true pathogenic nature. Many definitions have been associated with PMC, including "benign multicystic mesothelioma", "cystic mesothelioma", "multilocular peritoneal inclusion cysts", ''inflammatory cysts of the peritoneum" or "postoperative peritoneal cyst". METHODS We herein performed a systematic review of the literature focusing on clinical and histopathological aspects of PMC, diagnosis, and therapies. Moreover, we described our experience with a case of PMC in a young female. RESULTS Since there is often a history of prior surgery or inflammatory disease, most authors consider PMC of reactive origin. However, in some cases they occur without any documentable signs of disease or injury. A variety of clinical findings can complicate the preoperative assessment and a multitude of histological pictures may potentially lead to a misdiagnosis. The absence of a uniform treatment strategy and lack of long-term follow-up often hinder the accurate definition leading to unnecessary or unnecessarily aggressive therapy. CONCLUSIONS 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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Affiliation(s)
| | - Antonio Cianci
- Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
| | - Salvatore Caruso
- Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
| | - Salvatore Giovanni Vitale
- Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy.
| | - Gaetano Valenti
- Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy
| | - Eliana Piombino
- Department of Medical and Surgical Sciences and Advanced Technologies, G.F. Ingrassia, Azienda Ospedaliero-Universitaria "Policlinico-Vittorio Emanuele", Anatomic Pathology Section, School of Medicine, University of Catania, Catania, Italy
| | - Stefano Cianci
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy
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5
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Jerraya H, Ghariani W, Blel A, Gaja A, Dziri C. Benign multicystic peritoneal mesothelioma presenting as a ghost abdominal mass. Diagn Interv Imaging 2016; 97:361-3. [DOI: 10.1016/j.diii.2015.08.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2015] [Revised: 08/16/2015] [Accepted: 08/26/2015] [Indexed: 02/07/2023]
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6
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7
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Panagopoulos I, Gorunova L, Davidson B, Heim S. Novel TNS3-MAP3K3 and ZFPM2-ELF5 fusion genes identified by RNA sequencing in multicystic mesothelioma with t(7;17)(p12;q23) and t(8;11)(q23;p13). Cancer Lett 2014; 357:502-9. [PMID: 25484136 DOI: 10.1016/j.canlet.2014.12.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2014] [Revised: 11/30/2014] [Accepted: 12/01/2014] [Indexed: 01/08/2023]
Abstract
Multicystic mesothelioma is a rare disease of unknown etiology and pathogenesis. Nothing has been known about the cytogenetic and molecular genetic features of these tumors. Here we present the first cytogenetically analyzed multicystic mesothelioma with the karyotype 46,XX,t(7;17)(p13;q23),t(8;11)(q23;p13). RNA-sequencing showed that the t(7;17)(p13;q23) generated a chimeric TNS3-MAP3K3 gene, which codes for a chimeric protein kinase, as well as the reciprocal MAP3K3-TNS3 in which the region of TNS3 coding for the SH2_Tensin_like region and the tensin phosphotyrosine-binding domain is under the control of the MAP3K3 promoter. The other translocation, t(8;11)(q23;p13), generated a chimeric ZFPM2-ELF5 gene which codes for a chimeric transcription factor in which the first 40 amino acids of ELF5 are replaced by the first 100 amino acids of ZFPM2. RT-PCR together with Sanger sequencing verified the presence of the above-mentioned fusion transcripts. The finding of acquired clonal chromosome abnormalities in cells cultured from the lesion and the presence of the TNS3-MAP3K3 chimeric protein kinase and the ZFPM2-ELF5 chimeric transcription factor confirm the neoplastic nature of multicystic mesothelioma.
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MESH Headings
- Adult
- Base Sequence
- Chromosome Banding
- Chromosomes, Human, Pair 11/genetics
- Chromosomes, Human, Pair 17/genetics
- Chromosomes, Human, Pair 7/genetics
- Chromosomes, Human, Pair 8/genetics
- DNA-Binding Proteins/genetics
- Diagnosis, Differential
- Female
- Gene Expression Regulation, Neoplastic
- Humans
- In Situ Hybridization, Fluorescence
- Karyotype
- MAP Kinase Kinase Kinase 3/genetics
- Mesothelioma, Cystic/diagnosis
- Mesothelioma, Cystic/genetics
- Mesothelioma, Cystic/surgery
- Microfilament Proteins/genetics
- Molecular Sequence Data
- Oncogene Proteins, Fusion/genetics
- Proto-Oncogene Proteins c-ets/genetics
- Reverse Transcriptase Polymerase Chain Reaction
- Sequence Analysis, RNA/methods
- Tensins
- Transcription Factors/genetics
- Translocation, Genetic
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Affiliation(s)
- Ioannis Panagopoulos
- Section for Cancer Cytogenetics, Institute for Cancer Genetics and Informatics, The Norwegian Radium Hospital, Oslo University Hospital, Montebello, PO Box 49534, Nydalen, NO-0424, Oslo 0310, Norway; Centre for Cancer Biomedicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
| | - Ludmila Gorunova
- Section for Cancer Cytogenetics, Institute for Cancer Genetics and Informatics, The Norwegian Radium Hospital, Oslo University Hospital, Montebello, PO Box 49534, Nydalen, NO-0424, Oslo 0310, Norway; Centre for Cancer Biomedicine, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Ben Davidson
- Department of Pathology, The Norwegian Radium Hospital, Oslo University Hospital, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Sverre Heim
- Section for Cancer Cytogenetics, Institute for Cancer Genetics and Informatics, The Norwegian Radium Hospital, Oslo University Hospital, Montebello, PO Box 49534, Nydalen, NO-0424, Oslo 0310, Norway; Centre for Cancer Biomedicine, Faculty of Medicine, University of Oslo, Oslo, Norway; Faculty of Medicine, University of Oslo, Oslo, Norway
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8
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Late recurrence of benign multicystic peritoneal mesothelioma complicated with an incisional hernia. Case Rep Surg 2013; 2013:903795. [PMID: 23533919 PMCID: PMC3606740 DOI: 10.1155/2013/903795] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2013] [Accepted: 02/11/2013] [Indexed: 11/17/2022] Open
Abstract
Benign multicystic peritoneal mesothelioma (BMPM) is a rare disease arising from the peritoneal mesothelium. Here, we report a 57-year-old woman admitted to our unit with an incisional hernia fifteen years later following her first operation due to BMPM. Computerized tomography demonstrated a cystic appearing mass with intraabdominal extension in hernia sac. The patient underwent en bloc resection of the mass and hernia repair. An immunohistochemical analysis of the mass confirmed the recurrence of BMPM. Our case supports that BMPM has slowly progressive nature and can recur with complicated incisional hernia long time after primary resection. Diagnosis and long-term followup are crucial for clarifying the characteristics of this disease.
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9
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Vyas D, Pihl K, Kavuturu S, Vyas A. Mesothelioma as a rapidly developing Giant Abdominal Cyst. World J Surg Oncol 2012; 10:277. [PMID: 23256650 PMCID: PMC3565865 DOI: 10.1186/1477-7819-10-277] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2012] [Accepted: 11/26/2012] [Indexed: 11/18/2022] Open
Abstract
The benign cystic mesothelioma of the peritoneum is a rare lesion and is known for local recurrence. This is first case report of a rapidly developing massive abdominal tumor with histological finding of benign cystic mesothelioma (BCM). We describe a BCM arising in the retroperitoneal tis[sue on the right side, lifting ascending colon and cecum to the left side of abdomen. Patient was an active 58-year-old man who noticed a rapid abdominal swelling within a two month time period with a weight gain of 40 pounds. Patient had no risk factors including occupational (asbestos, cadmium), family history, social (alcohol, smoking) or history of trauma. We will discuss the clinical, radiologic, intra-operative, immunohistochemical, pathologic findings, and imaging six months after surgery. Patient has no recurrence and no weight gain on follow up visits and imaging.
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Affiliation(s)
- Dinesh Vyas
- Department of Surgery, College of Human Medicine, Institute of International Health, Michigan State University, 1200 East Michigan Avenue, Suite 655, Lansing, MI 48912, USA.
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10
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Tentes AA, Zorbas G, Pallas N, Fiska A. Multicystic peritoneal mesothelioma. AMERICAN JOURNAL OF CASE REPORTS 2012; 13:262-4. [PMID: 23569544 PMCID: PMC3615971 DOI: 10.12659/ajcr.883523] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2012] [Accepted: 10/18/2012] [Indexed: 11/09/2022]
Abstract
BACKGROUND Multicystic peritoneal mesothelioma is a rare disease. It is not certain if it is a benign or a borderline tumor. Although many therapeutic approaches have been used, complete cytoreductive surgery in combination with hyperthermic intraoperative intraperitoneal chemotherapy has gained acceptance. CASE REPORT A case of multicystic peritoneal mesothelioma in a 16-year old patient is reported. The patient underwent complete cytoreduction and received intraoperative hyperthermic intraperitoneal chemotherapy. The patient is disease-free one year after surgery. CONCLUSIONS Complete cytoreductive surgery in combination with hyperthermic intraoperative intraperitoneal chemotherapy appears to be a rational therapeutic approach in multicystic peritoneal mesothelioma.
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Affiliation(s)
- Antonios-Apostolos Tentes
- Surgical Department, Didimotichon General Hospital, Diagnostiko Center of Pathology, Didimotichon, Greece
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11
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Stojsic Z, Jankovic R, Jovanovic B, Vujovic D, Vucinic B, Bacetic D. Benign cystic mesothelioma of the peritoneum in a male child. J Pediatr Surg 2012; 47:e45-9. [PMID: 23084231 DOI: 10.1016/j.jpedsurg.2012.06.029] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Revised: 05/07/2012] [Accepted: 06/04/2012] [Indexed: 10/27/2022]
Abstract
The benign cystic mesothelioma of the peritoneum is a rare lesion that occurs predominatly in women of reproductive age and has a high propensity for local recurrence. It is very rare in childhood, especially in boys, being reported in only 4 cases. A new case of benign cystic mesothelioma of the peritoneum in an 11-year-old boy is reported. The lesion occupied the entire left abdomen, arising from the transverse mesocolon, and it was accompanied by 4 small cysts. The patient had a coexistent right-sided renal agenesis. The mesothelial nature of the cysts epithelial lining cells was confirmed by immunopositivity for calretinin, cytokeratin 5/6, HBME1, and epithelial membrane antigen (EMA). No recurrence of the lesion was noted in the 7-month follow-up. Pathologists and clinicians should be aware of the existence of this rare entity in childhood to establish an accurate diagnosis and provide close follow-up after the surgery.
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Affiliation(s)
- Zorica Stojsic
- Institute of Pathology, Faculty of Medicine, University of Belgrade, 11 000 Belgrade, Serbia.
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12
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Lee SW, Lee SJ, Jang DG, Yoon JH, Kim JH. Comparison of laparoscopic and laparotomic surgery for the treatment of peritoneal inclusion cyst. Int J Med Sci 2012; 9:14-9. [PMID: 22211084 PMCID: PMC3222085 DOI: 10.7150/ijms.9.14] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2011] [Accepted: 10/26/2011] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES Peritoneal inclusion cyst (PIC) is defined as a fluid-filled mesothelial-lined cysts of the pelvis and it is most frequently encountered in women of reproductive age. The treatment options are observation, hormonal management, imaging-guided aspiration, image-guided sclerotherapy and surgical excision. The objective of this study is to compare between the laparoscopic and laparotomic surgery for the treatment of PIC. METHODS Thirty-five patients with laparoscopy and forty-eight patients with laparotomy were included in the study. We compared the perioperative and postoperative data, the complications and the recurrence between the two groups. RESULTS There was a significantly reduced mean length of the hospital stay, estimated blood loss and complication rate in the laparoscopic group as compared to that of the laparotomic group (P=0.037, P=0.047 and P=0.037 respectively). There was also no statistical difference of recurrence rate between thelaparoscopic and laparotomic groups on the Cox proportional hazards model (p=0.209). CONCLUSION Our study showed that laparoscopy was superior to the laparotomy for the mean estimated blood loss, the mean length of the hospital stay and the complication rate except for the recurrence rate.
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Affiliation(s)
- Suk Woo Lee
- Department of Obstetrics and Gynecology, The Catholic University of Medicine, Korea
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13
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Psoinos CM, Kandil D, Piperdi B, Lambert LA. Multicystic peritoneal mesothelioma in an octogenarian: diagnosis, natural history, and treatment. Int J Surg Pathol 2011; 20:92-6. [PMID: 21427095 DOI: 10.1177/1066896911400737] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Multicystic peritoneal mesothelioma (MCPM) is a rare cystic proliferation most often seen in women of reproductive age with a history of prior abdominal surgery. This is a case report of an 83-year-old woman diagnosed with MCPM during an exploratory laparotomy for presumed peritoneal carcinomatosis from colon cancer. After complete removal of all visible MCPM, the patient remains free of both colon cancer and MCPM. This article reviews the literature with regards to the pathology, natural history, risk of malignant transformation, and current options for management of MCPM, including cytoreductive surgery and hyperthermic intraperitoneal chemotherapy.
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Affiliation(s)
- Charles M Psoinos
- Division of Surgical Oncology, University of Massachusetts-Memorial Medical Center, Swift House, 119 Belmont Street, Worcester, MA 01605, USA
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14
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Kemp AMC, Nayar R, De Frias D, Lin X. Cytomorphologic characteristics of fine needle core biopsy of multicystic peritoneal mesothelioma: a case report and review of the literature. Diagn Cytopathol 2010; 38:192-7. [PMID: 19813256 DOI: 10.1002/dc.21192] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Multicystic peritoneal mesothelioma (MPM) is an uncommon cystic mesothelial proliferative lesion. It occurs predominantly in women of reproductive age and most commonly arises in the pelvis. The preoperative diagnosis of MPM is difficult to establish based on clinical and radiographic findings, and has therefore traditionally been diagnosed following surgical resection. Due to differing management of MPM and its differential diagnoses including both benign and malignant lesions, it would be beneficial to diagnose MPM preoperatively. We report a case of MPM in a middle aged female that was diagnosed by fine needle core biopsy and touch preparations, allowing for appropriate clinical management. The cytomorphologic features of needle core biopsy, immunocytochemical studies and differential diagnosis are discussed. Furthermore, despite its infrequency, the current case emphasizes the importance of the inclusion of this entity in the differential diagnosis of cystic lesions of the abdomen and pelvis at the time of on-site evaluation and final diagnosis, in order to avoid misinterpretation of strips of benign mesothelial cells as inadequate for diagnosis.
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Affiliation(s)
- Anna M Collins Kemp
- Department of Pathology, Northwestern Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, Illinois 60611, USA
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15
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Bernstein EM, Tate A, Silasi DA, Rutherford T. Benign multicystic mesothelioma: a case report of three sisters. Rare Tumors 2009; 1:e46. [PMID: 21139925 PMCID: PMC2994461 DOI: 10.4081/rt.2009.e46] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2009] [Revised: 10/01/2009] [Accepted: 10/05/2009] [Indexed: 11/23/2022] Open
Affiliation(s)
- Eve M Bernstein
- Department of Obstetrics and Gynecology, Yale University, New Haven, Connecticut
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16
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17
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Neumann V, Löseke S, Tannapfel A. Versicherungsmedizinische Aspekte bei peritonealen Mesotheliomen und sonstigen peritonealen Tumoren. ACTA ACUST UNITED AC 2009; 104:765-71. [DOI: 10.1007/s00063-009-1162-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2009] [Accepted: 08/13/2009] [Indexed: 12/01/2022]
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18
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Laparoscopic excision of a benign peritoneal cystic mesothelioma. Arch Gynecol Obstet 2009; 281:577-8. [DOI: 10.1007/s00404-009-1203-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2009] [Accepted: 07/27/2009] [Indexed: 11/25/2022]
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19
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20
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Tannapfel A, Brücher B, Schlag P. Peritoneales Mesotheliom – ein seltener Tumor der Bauchhöhle. ONKOLOGE 2009. [DOI: 10.1007/s00761-009-1576-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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21
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Lins CMC, Elias J, Cunha AF, Muglia VF, Monteiro CR, Valeri FV, Feres O. MR imaging features of peritoneal adenomatoid mesothelioma: a case report. Clinics (Sao Paulo) 2009; 64:264-9. [PMID: 19330256 PMCID: PMC2666464 DOI: 10.1590/s1807-59322009000300020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Affiliation(s)
- Cynthia Maria Coelho Lins
- Department of Internal Medicine, Radiology Division, School of Medicine of Ribeirão Preto, University of Sao Paulo - Ribeirão Preto/SP, Brazil
| | - Jorge Elias
- Department of Internal Medicine, Radiology Division, School of Medicine of Ribeirão Preto, University of Sao Paulo - Ribeirão Preto/SP, Brazil
| | - Adilson Ferreira Cunha
- Department of Gynecology and Obstetrics, School of Medicine of São José do Rio Preto (FAMERP) - São José do Rio Preto/SP, Brazil
| | - Valdair Francisco Muglia
- Department of Internal Medicine, Radiology Division, School of Medicine of Ribeirão Preto, University of Sao Paulo - Ribeirão Preto/SP, Brazil
| | - Carlos Ribeiro Monteiro
- Department of Internal Medicine, Radiology Division, School of Medicine of Ribeirão Preto, University of Sao Paulo - Ribeirão Preto/SP, Brazil
| | - Fábio V. Valeri
- Victorio Valeri Institute of Medical Diagnosis - Ribeirao Preto/SP, Brazil
| | - Omar Feres
- Department of Surgery and Anatomy, School of Medicine of Ribeirão Preto, University of Sao Paulo - Ribeirão Preto/SP, Brazil. Tel.: 55 16 3602.2643,
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22
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Cuartas JE, Maheshwari AV, Qadir R, Cooper AJ, Robinson PG, Pitcher JD. Benign multicystic peritoneal mesothelioma in a cesarean-section scar presenting as a fungating mass. Int J Clin Oncol 2008; 13:275-8. [DOI: 10.1007/s10147-007-0732-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2007] [Accepted: 09/27/2007] [Indexed: 10/22/2022]
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23
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de Keizer B, Arsos G, Smit JW, Lam MG, Rinkes IHB, Goldschmeding R, van Isselt JW. I-131 accumulation in a benign cystic mesothelioma in a patient with follicular thyroid cancer. Thyroid 2008; 18:369-71. [PMID: 18298317 DOI: 10.1089/thy.2007.0155] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Focal I-131 accumulation is generally a reliable indicator of functioning normal thyroid tissue or a differentiated thyroid cancer metastasis. However, physiologic accumulation of activity may also be observed in organs such as the intestinal tract, liver, and salivary glands. Extrathyroidal I-131 accumulation has been reported in various sites, such as ectopic gastric mucosa, gastrointestinal and urinary tract abnormalities, cysts (mammary, liver, kidney, and ovaries), and inflammation and infection foci. We report a case of focal I-131 accumulation in a benign cystic mesothelioma in a patient with follicular thyroid cancer.
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MESH Headings
- Adenocarcinoma, Follicular/complications
- Adenocarcinoma, Follicular/diagnostic imaging
- Adenocarcinoma, Follicular/pathology
- Adult
- Humans
- Iodine Radioisotopes/pharmacokinetics
- Male
- Mesothelioma, Cystic/complications
- Mesothelioma, Cystic/diagnostic imaging
- Mesothelioma, Cystic/pathology
- Neoplasms/complications
- Neoplasms/diagnostic imaging
- Neoplasms/pathology
- Neoplasms, Second Primary/diagnostic imaging
- Neoplasms, Second Primary/pathology
- Peritoneal Neoplasms/complications
- Peritoneal Neoplasms/diagnostic imaging
- Peritoneal Neoplasms/pathology
- Radiography
- Thyroid Nodule/complications
- Thyroid Nodule/diagnostic imaging
- Thyroid Nodule/pathology
- Tissue Distribution
- Tomography, Emission-Computed, Single-Photon/adverse effects
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Affiliation(s)
- Bart de Keizer
- Department of Nuclear Medicine, University Medical Center Utrecht, Utrecht, The Netherlands.
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24
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Baratti D, Kusamura S, Nonaka D, Oliva GD, Laterza B, Deraco M. Multicystic and well-differentiated papillary peritoneal mesothelioma treated by surgical cytoreduction and hyperthermic intra-peritoneal chemotherapy (HIPEC). Ann Surg Oncol 2007; 14:2790-7. [PMID: 17661150 DOI: 10.1245/s10434-007-9475-8] [Citation(s) in RCA: 40] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2007] [Accepted: 05/11/2007] [Indexed: 12/11/2022]
Abstract
BACKGROUND Multicystic peritoneal mesothelioma (MPM) and well-differentiated papillary peritoneal mesothelioma (WDPPM) are exceedingly uncommon lesions with uncertain malignant potential and no uniform treatment strategy. The aim of the current study was to review our experience with cytoreduction and hyperthermic intraperitoneal chemotherapy (HIPEC) in these clinical settings. METHODS Four women with MPM and eight with WDPPM underwent 13 procedures of cytoreduction and close-abdomen HIPEC with cis-platin and doxorubicin. Seven patients had recurrent disease after previous debulking (one operation in five patients, two in one, four in one). Potential clinicopathological prognostic factors were assessed. RESULTS Optimal cytoreduction (residual tumor nodules <or=2.5 mm) was performed in 12 of 13 procedures. Median follow-up was 27 months (range 6-94). One grade 4 postoperative complication (NCI/CTCAE v.3.0) and no operative mortalities occurred. One patient underwent the procedure twice due to locoregional MPM recurrence. Transition of typical WDPPM to malignant biphasic mesothelioma was documented in one patient who died of disease progression following incomplete cytoreduction and HIPEC. Following multimodality treatment, 5-year overall and progression-free survival were 90.0% (standard error = 9.0) and 79.7% (11.9), respectively. Progression-free survival following previous debulking surgery (median 24 months; range 2-87) was statistically worse (P = .0156). Incomplete cytoreduction and poor performance status correlated to both reduced overall and progression-free survival after cytoreduction and HIPEC. CONCLUSIONS MPM and WDPPM are borderline tumors capable of transformation into potentially lethal processes. Definitive tumor eradication by means of cytoreduction and HIPEC seems more effective than debulking surgery in preventing disease recurrence or transition to aggressive malignancies.
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MESH Headings
- Adult
- Aged
- Antineoplastic Combined Chemotherapy Protocols/therapeutic use
- Chemotherapy, Adjuvant
- Chemotherapy, Cancer, Regional Perfusion
- Cisplatin/administration & dosage
- Combined Modality Therapy
- Disease-Free Survival
- Doxorubicin/administration & dosage
- Female
- Follow-Up Studies
- Humans
- Hyperthermia, Induced
- Infusions, Parenteral
- Mesothelioma, Cystic/drug therapy
- Mesothelioma, Cystic/mortality
- Mesothelioma, Cystic/pathology
- Mesothelioma, Cystic/surgery
- Middle Aged
- Neoplasm Recurrence, Local/drug therapy
- Neoplasm Recurrence, Local/mortality
- Neoplasm Recurrence, Local/pathology
- Neoplasm Recurrence, Local/surgery
- Neoplasm, Residual/drug therapy
- Neoplasm, Residual/mortality
- Neoplasm, Residual/pathology
- Neoplasm, Residual/surgery
- Peritoneal Neoplasms/drug therapy
- Peritoneal Neoplasms/mortality
- Peritoneal Neoplasms/pathology
- Peritoneal Neoplasms/surgery
- Reoperation
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Affiliation(s)
- D Baratti
- Department of Surgery, National Cancer Institute, Milan, Italy
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