Proctology Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Surgical Unit of Peritoneum and Retroperitoneum, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
BMJ Case Rep. 2023 Feb 14;16(2):e252441. doi: 10.1136/bcr-2022-252441.
Malignant mesothelioma is a rare aggressive tumour of the mesothelium with a propensity to spread locally and, rarely, to distant organs. The latest advances in its diagnosis and treatment have led to an increase in unusual disease presentations. Although a direct invasion of the perineum has been previously described in a men, a malignant mesothelioma spreading to the perianal region was never reported in a women. We presented a rare case of malignant mesothelioma recurrence spreading from the peritoneal cavity to the perineum through the rectovaginal space.
恶性间皮瘤是一种罕见的间皮恶性肿瘤，具有局部扩散的倾向，很少向远处器官扩散。其诊断和治疗的最新进展导致了一些不常见疾病表现的出现。尽管先前曾有男性腹膜直接侵犯的描述，但恶性间皮瘤从未有过在女性中扩散至肛周区域的报道。我们报告了一例罕见的恶性间皮瘤复发病例，该肿瘤通过直肠阴道间隙从腹腔扩散至会阴。
