Szöllósi András, Ferenc Csaba, Pintér Tamás, Erényi Akos, Nagy Attila
Magy Seb. 2005 Feb;58(1):35-7.
We report the case of a 28-year-old woman, who presented with acute abdominal and pelvic pain, the appearance of appendicitis. Because of her symptoms urgent operation was performed. Appendicetomy was performed, during the operation multiple cystic lesions were discovered on the right ovary and the peritoneal surface of the mesentery. Laparatomy was performed with removal of the visible cystic lesions, which contained mucous fluid. Final histology revealed benign cystic mesothelioma, which is a rare lesion of the peritoneum, occurring mainly in women in reproductive age. The etiology of cystic mesothelioma is still unclear. The short-term prognosis is favourable, but high recurrence rate. Some authors reported effective intraperitoneal chemotherapy, but no clinical study is available about long term outcome. We hope that surgical eradication was effective to prevent recurrence. One year after the operation the patient is complaint and symptom free.
我们报告了一例28岁女性病例,该患者表现为急性腹部和盆腔疼痛,疑似阑尾炎。由于其症状,进行了紧急手术。术中进行了阑尾切除术,期间在右侧卵巢和肠系膜的腹膜表面发现了多个囊性病变。进行了剖腹手术,切除了可见的含有黏液的囊性病变。最终组织学检查显示为良性囊性间皮瘤,这是一种罕见的腹膜病变,主要发生在育龄女性。囊性间皮瘤的病因仍不清楚。短期预后良好,但复发率高。一些作者报道了有效的腹腔内化疗,但尚无关于长期结局的临床研究。我们希望手术根除有效预防复发。术后一年,患者无不适且无症状。