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Surgery Today

, Volume 41, Issue 1, pp 141–146 | Cite as

Cystic peritoneal mesothelioma: Report of a case

  • Andrea Cavallaro
  • Massimiliano Berretta
  • Emanuele Lo Menzo
  • Vincenzo Cavallaro
  • Antonio Zanghì
  • Maria Di Vita
  • Alessandro Cappellani
Case Report

Abstract

Benign multicystic peritoneal mesothelioma (BMPM) is a rare disease with good short-term prognosis and rare malignant transformation. However, its biological significance remains unexplained. A neoplastic origin is considered by many authors to require a surgical excision, based on the high recurrence and progressive growth rate of the tumors. However, alternative or integrative treatment options have also been proposed. A 45-year-old woman presented to our unit with a history of occasional discomfort and pain in the left hip. On physical examination, we noticed a tough-elastic, fixed mass located in the iliac fossa. Computed tomography scan detected a mass with multiseptated cystic-like areas. Due to the similarity of these findings to a primitive sarcomatous tumor of the retroperitoneum, an arteriographic study was also performed. The patient underwent en bloc resection of the mass, including a segment of the sigmoid colon. The final pathologic diagnosis was cystic mesothelioma. Further studies are needed to better understand the etiology and pathogenesis of this rare disease, and to define a more tailored treatment plan.

Key words

Benign multicystic peritoneal mesothelioma Calretinin Cytokeratin 

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Copyright information

© Springer 2011

Authors and Affiliations

  • Andrea Cavallaro
    • 1
  • Massimiliano Berretta
    • 3
  • Emanuele Lo Menzo
    • 4
  • Vincenzo Cavallaro
    • 2
  • Antonio Zanghì
    • 1
  • Maria Di Vita
    • 1
  • Alessandro Cappellani
    • 1
  1. 1.Department of SurgeryUniversity of CataniaCataniaItaly
  2. 2.Department of Surgical Sciences, Organ Transplants and Advanced Technologies, Azienda “Policlinico — Vittorio Emanuele”University of CataniaCataniaItaly
  3. 3.Department of Medical Oncology, National Cancer InstituteCROAviano (PN)Italy
  4. 4.Division of Laparoscopic and Bariatric SurgeryUniversity of MarylandBaltimoreUSA

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