Abstract
An extremely rare case of mucinous cystadenoma developing to pseudomyxoma peritonei together with multicystic peritoneal mesothelioma is herein reported. The patient was a 25-year-old Japanese woman who underwent an appendectomy under the diagnosis of acute appendicitis because of right lower abdominal pain. The patient histopathologically demonstrated appendiceal mucocele with pseudomyxoma peritonei. She underwent a laparotomy in our unit following detailed examinations. Several cystic tumors measuring from 3 to 5 cm in diameter were found in the omentum, and thus omentectomy, partial cecectomy and left oophorectomy were all performed to resect the tumors. Immunostaining and electron microscopy showed the appendiceal lesion to be mucinous cystadenoma, while the peritoneal lesion was multicystic mesothelioma. To our knowledge, this is the first report in the world literature of this rare combination of diseases.
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References
Kusuyama Y, Imai H, Hosomichi T, Mabuchi Y, Yokota H (1988) A case of cystic mesothelioma (in Japanese). Sanka To Fujinka 55:1063–1066
Ueyama S, Kobayashi S, Mouri O, Fujii T, Inoue K, Tomita M, Mizutani Y, Kawabata T, Kimoto S (1988) A case of benign multicystic peritoneal mesothelioma (in Japanese). Gekashinryo 30:1279–1285
Tsuchiya S, Takada T, Yasuda H, Uchiyama K, Hasegawa H, Misu Y, Saito Y, Iwagaki T, Shikata J, Imamura T (1991) A case of multicystic peritoneal mesothelioma (in Japanese with English abstract). Nippon Rinshou Geka Igakkai Zasshi (J Jpn Soc for Clin Surg) 52:1138–1142
Rokitansky CF (1855) A manual of pathological anatomy, vol. 2. English translation of the Vienna edition. Blanchard and Lea, Philadelphia, p 89
Tada M, Yamashita H, Tsubaki M, Yabata E, Takemura K, Endo M (1991) Three cases of mucocele of appendix (in Japanese with English abstract). Nippon Rinshou Geka Igakkai Zasshi (J Jpn Soc for Clin Surg) 52:602–606
Morson BC (1979) Gastrointestinal pathology, 2nd edn, Blackwell Scientific Publications, Oxford, London, Edinburgh, Melbourne pp 449–482
Frankel E (1901) Uber das sogennante Pseudomyxoma Peritonei. Munch Med Wschr 48:965–970
Dachman A, Lichtenstein J, Friedman A (1985) Mucocele of the appendix and pseudomyxoma peritonei. AJR 144:923–929
Jurgeleit H (1986) Pseudomyxoma peritonei: A localized, benign variant of appendiceal origin. Dis Colon Rectum 29:469–470
Mennemeyer R, Smith M (1979) Multicystic peritoneal mesothelioma: A report with electron microscopy of a case mimicking intra-abdominal cystic hygroma (lymphangioma). Cancer 44:692–698
Canty L, Williams L, Volpe C, Yunan C (1990) Benign cystic mesothelioma in a male. Am J Gastroenterol 85:311–315
Raafat F, Egan M (1988) Benign cystic mesothelioma of the peritoneum: immunohistochemical and ultrastructual features in a child. Pediatr Pathol 8:321–329
Alvarez-Fernandez E, Rabano A, Barros-Malvar J, Sanabia-Valdez J (1989) Multicystic peritoneal mesothelioma: A case report. Histopathology 14:199–208
Schneider J, Zelnick E (1985) Benign cystic peritoneal mesothelioma. J Clin Ultrasound 13:190–192
Pollack C, Jorden R (1991) Benign cystic mesothelioma presenting as acute abdominal pain in a young woman. J Emerg Med 9:21–25
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Kusuyama, T., Fujita, M. Appendiceal mucinous cystadenoma associated with pseudomyxoma peritonei and multicystic peritoneal mesothelioma: Report of a case. Surg Today 25, 745–749 (1995). https://doi.org/10.1007/BF00311493
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DOI: https://doi.org/10.1007/BF00311493