A RARE CASE OF MULTILOCULATED PERITONEAL CYSTIC LESION IN A MALE - BENIGN MULTICYSTIC MESOTHELIOMA
Abstract
Benign multicystic mesothelioma is a rare cystic mesothelial lesion that occurs
predominantly in reproductive aged women. A 53-year-old male was admitted to our surgical
department with a chief complaint of abdominal distension for the last 3 years. The physical
examination revealed a large multilobulated mass filling all the quadrants of the abdomen. Computed
tomography demonstrated a large multiloculated cystic lesion with irregular enhancing septae
extending from the epigastrium to the pelvis. The patient underwent near total excision of multicystic
tumour arising from the pelvis under general anaesthesia which revealed a large multicystic lesion in
the peritoneal cavity arising from the pelvis. The cyst fluid was clear in some and brownish in others.
Histological examination revealed multiple cysts with one of the cyst wall showing single layer of
cuboidal to flattened cells with no cytological atypia. There was no evidence of malignancy.The final
diagnosis was benign multicystic mesothelioma. The patient had a recurrence in the swelling after 2
years. Benign multicystic mesothelioma is an exceedingly rare lesion. A complete resection of the
tumor is required. The diagnosis of benign multicystic mesothelioma is based on pathological
analysis
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PDFReferences
Wang T-B, Dai W-G, Liu D-W, Shi H-P, Dong W-G. Diagnosis and treatment of benign
multicystic peritoneal mesothelioma. World J Gastroenterol WJG. 2013 Oct 21;19(39):6689–92.
Momeni M, Pereira E, Grigoryan G, Zakashansky K. Multicystic Benign Cystic Mesothelioma
Presenting as a Pelvic Mass. Case Rep Obstet Gynecol [Internet]. 2014 [cited 2016 Feb 4];2014.
Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970247/
González-Moreno S, Yan H, Alcorn KW, Sugarbaker PH. Malignant transformation of “benign”
cystic mesothelioma of the peritoneum. J Surg Oncol. 2002 Apr 1;79(4):243–51.
Levy AD, Arnáiz J, Shaw JC, Sobin LH. Primary Peritoneal Tumors: Imaging Features with
Pathologic Correlation1. RadioGraphics. 2008 Mar;28(2):583–607.
Ross MJ, Welch WR, Scully RE. Multilocular peritoneal inclusion cysts (So-called cystic
mesotheliomas). Cancer. 1989 Sep 15;64(6):1336–46.
Park JY, Kim KW, Kwon H-J, Park M-S, Kwon GY, Jun S-Y, et al. Peritoneal Mesotheliomas:
Clinicopathologic Features, CT Findings, and Differential Diagnosis. Am J Roentgenol. 2008 Sep
;191(3):814–25.
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