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Diffuse malignant peritoneal mesothelioma in a 31-year-old patient--case report
M Prorocic1, M Vasiljevic, S Jankovic
1University Clinic of Gynaecology and Obstetrics Narodni Front, Belgrade, Serbia.
Abstract:
This is a case report of a diffuse malignant peritoneal mesothelioma in a 31-year-old woman. The patient presented with pains in the small pelvis followed by abdominal distension. By pelvic ultrasonography a tumorous mass of cystic architecture was verified in the small pelvis. She was submitted to laparoscopy. The diagnosis of the disease was established by histopathological examination of the material sample taken during laparoscopy. The patient was subsequently submitted to laparotomy upon which peritonectomy, omentectomy and appendectomy were performed. Postoperative combined chemotherapy was given. The patient has been well since completion of the treatment.
Insights
A rare case of diffuse malignant peritoneal mesothelioma was diagnosed in a young woman presenting with pelvic pain and abdominal distension. Surgical intervention and chemotherapy led to a positive outcome, highlighting successful treatment strategies.
Area of Science:
- Oncology
- Pathology
- Surgical Oncology
Background:
- Diffuse malignant peritoneal mesothelioma is a rare and aggressive neoplasm.
- Early diagnosis and comprehensive treatment are crucial for patient outcomes.
Observation:
- A 31-year-old woman presented with pelvic pain and abdominal distension.
- Pelvic ultrasonography revealed a cystic tumor mass.
- Histopathological examination confirmed diffuse malignant peritoneal mesothelioma.
Findings:
- The patient underwent diagnostic laparoscopy, followed by cytoreductive surgery including peritonectomy, omentectomy, and appendectomy.
- Postoperative combined chemotherapy was administered.
- The patient demonstrated a favorable response to treatment with no recurrence observed.
Implications:
- This case highlights the importance of considering rare malignancies in young adults presenting with non-specific abdominal symptoms.
- Multimodal treatment involving cytoreductive surgery and chemotherapy can achieve positive outcomes in diffuse malignant peritoneal mesothelioma.
- Further research into optimal treatment protocols for this rare condition is warranted.
