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Benign multicystic mesothelioma: a case report.

A J Adolph1, T E Smith, J Adolph

  • 1Endocopic Surgery, Center for Women's Care and Reproductive Surgery, Atlanta, GA, USA.

Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'Obstetrique Et Gynecologie Du Canada : JOGC
|August 28, 2002
PubMed
Summary

Benign multicystic mesothelioma, a rare abdominal lesion, typically affects premenopausal women. This case highlights its presentation and management in a 36-year-old woman, emphasizing fertility considerations.

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Area of Science:

  • Gynecologic Oncology
  • Pathology
  • Surgical Oncology

Background:

  • Benign multicystic mesothelioma (multilocular peritoneal inclusion cyst) is a rare intra-abdominal lesion.
  • It predominantly affects premenopausal women, presenting on peritoneal surfaces.
  • Recognition is crucial due to potential confusion with malignant neoplasms.

Observation:

  • A 36-year-old woman presented with abdominal pain, bloating, and loose stools.
  • Pelvic ultrasound revealed a complex cystic mass with internal septations.
  • Surgical management included mass removal, hysterectomy, oophorectomy, and omentectomy.

Findings:

  • Final pathology confirmed benign multicystic mesothelioma.
  • The lesion demonstrated a generally benign clinical course.

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  • Histopathological examination is key for definitive diagnosis.

    • Implications:

    • Gynaecologists must be aware of this rare entity for accurate diagnosis and management.
    • Fertility preservation is a critical consideration in young women undergoing surgery for this condition.
    • Early recognition aids in appropriate surgical planning and patient counseling.