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Generation and Expansion of Primary, Malignant Pleural Mesothelioma Tumor Lines

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[Benign multicystic peritoneal mesothelioma].

Alpár György¹, Ferenc Schmal¹, Huba Szabó²

¹Sebészeti Osztály, Szent János Kórház Budapest.

|May 21, 2019

Summary

Benign multicystic peritoneal mesothelioma is a rare tumor. Surgical removal is recommended, but recurrence is common, necessitating further treatment like hyperthermic intraperitoneal chemotherapy.

Keywords:

benign multicystic peritoneal mesothelioma benignus multicysticus peritonealis mesothelioma differenciáldiagnózis differential diagnosis hashártya hyperthermic intraperitoneal chemotherapy hyperthermiás intraperitonealis kemoterápia peritoneum

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Area of Science:

Oncology
Pathology
Surgical Oncology

Background:

Benign multicystic peritoneal mesothelioma is a rare peritoneal tumor.
It primarily affects young, fertile women and presents non-specifically.
Diagnosis relies on histological examination.

Observation:

A young female presented with an incarcerated inguinal hernia, leading to surgery where a cystic mass near the round ligament was removed.
A 41-year-old male had a recurrent benign multicystic peritoneal mesothelioma, initially diagnosed after umbilical hernia repair and later found near the appendix.

Findings:

Histological examination confirmed benign multicystic mesothelioma in both cases.
The male patient experienced tumor recurrence, confirmed during surgery for a periappendicular abscess.
Malignant transformation risk is low, but recurrence rates after surgical removal can be as high as 50%.

Implications:

Complete surgical excision is the primary treatment.
Recurrent cases may require total peritonectomy or hyperthermic intraperitoneal chemotherapy.
Early diagnosis and consistent follow-up are crucial for managing this rare condition.