Witek Tadeusz D, Marchese Joseph W, Farrell Timothy J
*The Commonwealth Medical College †Geisinger-Community Medical Center, Scranton, PA.
Surg Laparosc Endosc Percutan Tech. 2014 Apr;24(2):e70-3. doi: 10.1097/SLE.0b013e31828f7269.
Benign multicystic peritoneal mesothelioma is a rare cystic tumor with approximately 140 cases reported to date. It is found mainly in women of reproductive age and is commonly attached to the serosal surface of pelvic viscera. The pathogenesis is uncertain and debate regarding its neoplastic or reactive nature exists. The presenting symptoms are often nonspecific and most commonly include vague lower abdominal pain and fullness. Imaging studies are used to identify the lesion, but histologic studies with the aid of immunohistochemical techniques are needed for definitive diagnosis as the differential diagnosis is quite extensive. Surgical resection is the primary form of treatment, and follow-up is important due to the high rate of recurrence and the rare possibility of malignant transformation. Here, we present a case of a 50-year-old female with a recurrence of benign multicystic peritoneal mesothelioma treated through laparoscopic excision and also a review of the literature.
良性多囊性腹膜间皮瘤是一种罕见的囊性肿瘤，迄今为止报道的病例约有140例。它主要见于育龄女性，通常附着于盆腔脏器的浆膜表面。其发病机制尚不确定，关于其肿瘤性或反应性本质存在争议。呈现的症状往往不具特异性，最常见的包括下腹部隐痛和胀满感。影像学检查用于识别病变，但由于鉴别诊断范围相当广泛，因此需要借助免疫组化技术进行组织学研究以明确诊断。手术切除是主要的治疗方式，鉴于复发率高和恶性转化可能性小，随访很重要。在此，我们报告一例50岁女性良性多囊性腹膜间皮瘤复发经腹腔镜切除治疗的病例，并对文献进行综述。
