Abstract
A 66-year-old Japanese man who had undergone a subtotal gastrectomy for gastric cancer 1 year earlier, and was asymptomatic, underwent a computed tomography scan during a detailed follow-up examination, which revealed a pancreatic mass. Abdominal ultrasonography showed a solid tumor containing a cystic lesion, and abdominal magnetic resonance demonstrated a tumor with low intensity on T1-weighted images and high intensity on T2-weighted images. Although an abdominal angiography added no new information to help in establishing a preoperative diagnosis, it showed an avascular mass. An endoscopic retrograde pancreatograhy showed compression and deviation of the body part of the pancreatic duct, and dilatation of its caudal part. At laparotomy, an elastic soft tumor was found to originate from the peritoneum of the omental bursa in front of the pancreas. The tumor was encapsulated and solid. The solid lesion consisted of spindle-shaped cells, but no atypical cells were observed. The histological findings were diagnostic of a benign solitary fibrous mesothelioma, which is extremely rare. The patient is currently well and disease-free more than 5 years after this operation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Hasan AKH, Sinclair DJ (1993) Case report: calcification in benign cystic peritoneal mesothelioma. Clin Radiol 48:66–67
McCullagh M, Keen C, Dykes E (1994) Cystic mesothelioma of the peritoneum: a rare cause of “ascites” in children. J Pediatr Surg 29:1205–1207
Takenouchi Y, Oda K, Takahara O, Niinomi N Ichikawa M, Yokoi S, Kanda H, Suzuki M, Horisawa M, Hayakawa S, Kishikawa S, Osamura Y (1995) Report of a case of benign cystic mesothelioma. Am J Gastroenterol 90:1165–1167
Moriwaki Y, Kobayashi S, Harada H, Kunizaki C, Imai S, Kido Y, Kasaoka C, Masumura M (1996) Cystic mesothelioma of the peritoneum. J Gastroenterol 31:868–874
Katsube Y, Mukai K, Silverberg SG (1982) Cystic mesothelioma of the peritoneum. A report of five cases and review of the literature. Cancer 50:1615–1622
Demopoulos RI, Kahn MA, Feiner HD (1986) Epidemiology of cystic mesothelioma. Int J Gynecol Pathol 5:379–381
Pollack CV Jr, Jorden RC (1991) Benign cystic mesothelioma presenting as acute abdominal pain in a young woman. J Emerg Med 9:21–25
Stout AP (1950) Solitary fibrous mesothelioma of the peritoneum. Cancer 3:820–826
Hasegawa S, Kojima Y, Iizuka I, Deguchi J, Tada K, Kawakami I, Nosaka Y, Suzuki H, Sugiyama H (1994) A case of malignant mesothelioma and its study in the literature (in Japanese with English abstract). Gan no Rinsho (Jpn J Cancer Clin) 40:439–444
Stout AP, Murray MR (1942) Localized pleural mesothelioma; investigation of its characteristic and histogenesis by the method of tissue culture. Arch Pathol 34:951–964
Goldblum J, Hart WR (1995) Localized and diffuse mesotheliomas of the genital tract and peritoneum in woman. A clinicopathologic study of nineteen true mesothelial neoplasms, other than adenomatoid tumors, multicystic mesotheliomas, and localized fibrous tumors. Am J Surg Pathol 19: 1124–1137
Stout AP, Lattes R (1967) Tumors of the soft tissue. Armed Forces Institute of Pathology, Washington DC, pp 90–91, 176–178
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Adachi, T., Sugiyama, Y. & Saji, S. Solitary fibrous benign mesothelioma of the peritoneum: Report of a case. Surg Today 29, 915–918 (1999). https://doi.org/10.1007/BF02482786
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02482786