Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass
Background. Benign cystic mesothelioma (BCM) is a rare tumor that arises from the abdominal peritoneum with a predilection to the pelvic peritoneum. For this reason, it can often mimic gynecologic malignancies. Case. A 47-year-old perimenopausal female presented reporting several weeks of abdominal...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/852583 |
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| author | Mazdak Momeni Elena Pereira Gennadiy Grigoryan Konstantin Zakashansky |
| author_facet | Mazdak Momeni Elena Pereira Gennadiy Grigoryan Konstantin Zakashansky |
| author_sort | Mazdak Momeni |
| collection | DOAJ |
| description | Background. Benign cystic mesothelioma (BCM) is a rare tumor that arises from the abdominal peritoneum with a predilection to the pelvic peritoneum. For this reason, it can often mimic gynecologic malignancies. Case. A 47-year-old perimenopausal female presented reporting several weeks of abdominal distention associated with abdominal tenderness and constipation. Computed tomography revealed a 24 cm multiloculated pelvic mass, and tumor markers were notable for an elevated CA-125. The patient was taken to the operating room for an exploratory laparotomy, total abdominal hysterectomy, bilateral salpingoophorectomy, and removal of pelvic mass. Final pathologic evaluation revealed a benign cystic mesothelioma. Conclusion. Classically these tumors present as large multicystic masses with thin-walled septations and on preoperative evaluation BCM can mimic many different disease entities including ovarian malignancies and cystic lymphangioma. Often diagnosis can only be made at time of surgery. |
| format | Article |
| id | doaj-art-b6035ec27d4a43e5933d67a00388fbd7 |
| institution | DOAJ |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-b6035ec27d4a43e5933d67a00388fbd72025-08-20T03:20:55ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/852583852583Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic MassMazdak Momeni0Elena Pereira1Gennadiy Grigoryan2Konstantin Zakashansky3Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Medicine, Icahn School of Medicine at Mount Sinai Medical Center, 1176 Fifth Avenue, P.O. Box 1173, New York, NY 10029-6574, USADivision of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Medicine, Icahn School of Medicine at Mount Sinai Medical Center, 1176 Fifth Avenue, P.O. Box 1173, New York, NY 10029-6574, USADivision of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Medicine, Icahn School of Medicine at Mount Sinai Medical Center, 1176 Fifth Avenue, P.O. Box 1173, New York, NY 10029-6574, USADivision of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Medicine, Icahn School of Medicine at Mount Sinai Medical Center, 1176 Fifth Avenue, P.O. Box 1173, New York, NY 10029-6574, USABackground. Benign cystic mesothelioma (BCM) is a rare tumor that arises from the abdominal peritoneum with a predilection to the pelvic peritoneum. For this reason, it can often mimic gynecologic malignancies. Case. A 47-year-old perimenopausal female presented reporting several weeks of abdominal distention associated with abdominal tenderness and constipation. Computed tomography revealed a 24 cm multiloculated pelvic mass, and tumor markers were notable for an elevated CA-125. The patient was taken to the operating room for an exploratory laparotomy, total abdominal hysterectomy, bilateral salpingoophorectomy, and removal of pelvic mass. Final pathologic evaluation revealed a benign cystic mesothelioma. Conclusion. Classically these tumors present as large multicystic masses with thin-walled septations and on preoperative evaluation BCM can mimic many different disease entities including ovarian malignancies and cystic lymphangioma. Often diagnosis can only be made at time of surgery.http://dx.doi.org/10.1155/2014/852583 |
| spellingShingle | Mazdak Momeni Elena Pereira Gennadiy Grigoryan Konstantin Zakashansky Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass Case Reports in Obstetrics and Gynecology |
| title | Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass |
| title_full | Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass |
| title_fullStr | Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass |
| title_full_unstemmed | Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass |
| title_short | Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass |
| title_sort | multicystic benign cystic mesothelioma presenting as a pelvic mass |
| url | http://dx.doi.org/10.1155/2014/852583 |
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