Amine Sebai, Yacine Ouadi, Souhaib Atri, Yasmine Jedidi, Amine Makni, Kacem Montasser
Department of Surgery A La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Department of Surgery A La Rabta Hospital, Tunis, Tunisia; Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia.
Int J Surg Case Rep. 2023 Jun;107:108308. doi: 10.1016/j.ijscr.2023.108308. Epub 2023 May 9.
Benign multicystic peritoneal mesothelioma is rare, with around 200 cases reported in the literature. We report the case of a patient operated on for the diagnosis of cystic lymphangioma but the pathology examination retained the diagnosis of benign cystic peritoneal mesothelioma.
A 47-year-old patient, who consulted for abdominal distension evolving for a year. Examination revealed a 30-centimeter abdominal mass. The CT scan showed an intraperitoneal cystic mass measuring 24 × 13 × 32 cm. The diagnosis of cystic lymphangioma was suspected and we decided to surgically remove the mass. We performed a laparotomy. There was a large multi-cystic formation that seemed to develop at the expense of the parietal peritoneum and the greater omentum. A monobloc resection was performed. The postoperative was eventless. Pathology concluded to a benign cystic peritoneal mesothelioma.
The BMPM is a rare peritoneal neoplasm that develops mainly in women, during sexual activity. Its etiopathogenesis is unknown. It is often mesenteric or omental. Generally, resection is considered the sole treatment for benign mesotheliomas. However, this surgery needs to be R0 or it will expose to a certain recurrence. Some authors recommend a more aggressive approach associating cytoreductive surgery with heated intraperitoneal chemotherapy.
Benign multicystic peritoneal mesothelioma is a rare pathology of the peritoneum which develops mainly in women during periods of reproductive activity. Despite its benignity, it presents a high risk of recurrence, up to 50 % of cases.
良性多囊性腹膜间皮瘤较为罕见，文献报道约200例。我们报告一例患者，最初因诊断为囊性淋巴管瘤而接受手术，但病理检查确诊为良性囊性腹膜间皮瘤。
一名47岁患者，因腹胀一年前来就诊。检查发现腹部有一个30厘米的肿块。CT扫描显示一个24×13×32厘米的腹膜内囊性肿块。怀疑为囊性淋巴管瘤，遂决定手术切除肿块。我们进行了剖腹手术。发现一个巨大的多囊性肿物，似乎起源于壁层腹膜和大网膜。进行了整块切除。术后恢复顺利。病理诊断为良性囊性腹膜间皮瘤。
良性多囊性腹膜间皮瘤是一种罕见的腹膜肿瘤，主要发生于性活跃期的女性。其发病机制尚不清楚。通常位于肠系膜或网膜。一般来说，手术切除被认为是良性间皮瘤的唯一治疗方法。然而，这种手术需要达到R0切除，否则会有一定的复发风险。一些作者建议采用更积极的方法，将细胞减灭术与腹腔内热化疗相结合。
良性多囊性腹膜间皮瘤是一种罕见的腹膜疾病，主要发生于生殖活跃期的女性。尽管其为良性，但复发风险较高，高达50%的病例会复发。
