Lee Caroline E, Agrawal Anita
Department of Obstetrics and Gynecology, University of Saskatchewan, Saskatoon, SK.
Department of Obstetrics and Gynecology, University of Saskatchewan, Saskatoon, SK.
J Obstet Gynaecol Can. 2017 Nov;39(11):1042-1045. doi: 10.1016/j.jogc.2017.04.038. Epub 2017 Jul 18.
Benign peritoneal cystic mesothelioma (BPCM) is a rare disease entity that arises from mesothelioma cells. We describe a rare case of BPCM recurrence 36 years after its initial presentation.
A 62-year-old woman was referred to an outpatient gynaecologic oncology clinic with an incidental finding of multiple pelvic cysts. She had a preceding history of known BPCM treated with extensive debulking surgery. She presented after 36 years of clinical remission. A repeat laparotomy for a debulking surgical procedure confirmed a recurrence of BPCM.
Our current case represents a woman with a remote recurrence of BPCM after initial optimal debulking surgery. Her clinical presentation of recurrence after 36 years illustrates the need for long-term follow-up and clinical suspicion in symptomatic patients with previously diagnosed BPCM.
良性腹膜囊性间皮瘤（BPCM）是一种起源于间皮瘤细胞的罕见疾病实体。我们描述了一例罕见的BPCM病例，在首次出现36年后复发。
一名62岁女性因偶然发现多个盆腔囊肿被转诊至妇科肿瘤门诊。她曾有已知的BPCM病史，接受过广泛的肿瘤减灭术治疗。在临床缓解36年后她再次就诊。再次进行肿瘤减灭术的剖腹手术证实了BPCM复发。
我们目前的病例是一名女性，在最初进行最佳肿瘤减灭术后出现BPCM远期复发。她36年后复发的临床表现表明，对于先前诊断为BPCM的有症状患者，需要进行长期随访并保持临床怀疑。
