Horling E W, Albert C, Bassermann R, Stiegler H
Abteilung für Allgemein- und Gefasschirurgie, Krankenhaus Kaufbeuren.
Zentralbl Chir. 1996;121(7):587-90.
We report on a 31-year-old man with a 29 x 15 x 15 cm large abdominal tumor who came to surgery under suspicion of echinococcus cyst of the liver. Histologically, the neoplasm could identified as multicystic peritoneal mesothelioma (synonyma: benign cystic mesothelioma). Additionally some cysts were located in the greater omentum and mesocolon. In contrast to our case the benign cystic mesotheliomas most commonly occur in young women, localized in the pelvis and abdomen and often complicated by postoperative local recurrence. We performed a resection of the right hemicolon and the omentum. Postoperatively no further therapy was necessary because of the benign appearance of the lesion. Close follow-up is required in these patients due to the disposition for recurrences.
我们报告了一名31岁男性,其腹部有一个29×15×15厘米大的肿瘤,因怀疑肝包虫囊肿前来接受手术。组织学检查显示,该肿瘤可确诊为多囊性腹膜间皮瘤(同义词:良性囊性间皮瘤)。此外,一些囊肿位于大网膜和结肠系膜。与我们的病例不同,良性囊性间皮瘤最常见于年轻女性,位于盆腔和腹部,术后常伴有局部复发。我们进行了右半结肠和网膜切除术。由于病变外观良性,术后无需进一步治疗。由于这些患者有复发倾向,需要密切随访。