Ignjatović M, Cerović S, Cuk V
Vojnomedicinska akademija, Beograd.
Acta Chir Iugosl. 2001;48(1):77-83.
Mesothelial cysts and cystic mesotheliomas of the greater omentum are very rare clinical entities. About 30 cases of mesothelial cysts and only 4 cases of cystic mesotheliomas were described in the world literature so far. Over 13 years period (1987-2000), between 15,000 laparotomised adult patients, we have diagnosed one case of mesothelial cyst and one of cystic mesothelioma only. Mesothelial cyst, 7 cm in diameter, covered by regular mesothelial cells, was found accidently during gaster cancer surgery. In a 78 years old man, 30 cm in diameter cystic mesothelioma was diagnosed with immunohistochemical studies, necessarily for differentiation between cystic mesothelioma and other peritoneal cysts. Due to possible aggressive course at the diseases and tendency to recurrency, a complete surgical excision and log term follow-up are necessary.
大网膜的间皮囊肿和囊性间皮瘤是非常罕见的临床实体。迄今为止，世界文献中仅描述了约30例间皮囊肿，囊性间皮瘤仅有4例。在13年期间（1987 - 2000年），15000例接受剖腹手术的成年患者中，我们仅诊断出1例间皮囊肿和1例囊性间皮瘤。直径7厘米的间皮囊肿，表面覆盖规则的间皮细胞，在胃癌手术中意外发现。在一名78岁男性患者中，通过免疫组化研究诊断出直径30厘米的囊性间皮瘤，这对于区分囊性间皮瘤与其他腹膜囊肿是必要的。由于这些疾病可能具有侵袭性病程和复发倾向，完整的手术切除和长期随访是必要的。
