Survival rates vary widely depending on the subtype of mesothelioma, and if patients face a malignant recurrence. No time lapse of follow up is known, with recurrence of this pathology reported as far as 36 years after surgery. The most characteristic aspect of these tumors is the presence of multiple cysts. A medical doctor who specializes in mesothelioma or cancer treatment reviewed the content on this page to ensure it meets current medical standards and accuracy. Our fact-checking process begins with a thorough review of all sources to ensure they are high quality. •Mainstay of treatment for this tumor is complete surgical excision.
Many factors are suspected to contribute to its development, such as previous surgery, endometriosis, and familial Mediterranean fever. The main management is surgical resection; however, it is estimated that the recurrence rate is up to 50%. We report a case series of three male patients who were diagnosed with BMPM and were treated with cytoreductive surgery and hyperthermic mesothelioma treatment center intraperitoneal chemotherapy . Benign multicystic peritoneal mesothelioma is a rare neoplasm of the abdominal mesothelium (i.e., peritoneum, mesentery, and omentum). We present the case of a 74-year-old male who presented with a right paracolic gutter fluid collection and cystic mass. The patient underwent diagnostic laparoscopy with resection of the mass.
With so few cases, it is hard to determine what causes this type of cancer. González-Moreno S., Yan H., Alcorn K. W., Sugarbaker P. H. Malignant transformation of ‘benign’ cystic mesothelioma of the peritoneum. González-Moreno S, Yan H, Alcorn KW, Sugarbaker PH. Malignant transformation of “benign” cystic mesothelioma of the peritoneum. It is proposed that these cysts represent peritoneal inclusion cysts in which the histological appearance has been altered by an unusual degree of inflammation, fibrosis, and entrapment of mesothelial cells.
He was found to have focal residual disease and diffuse parietal and visceral peritoneal studding on autopsy. González-Moreno et al. also reported a 36-year-old woman with a ten-year history of BMPM. She underwent bilateral ovarian cystectomies and partial omentectomy with peritoneal washing, followed by five additional attorney lawyer mesothelioma laparoscopies for recurrent and persistent ascites over 10 years. Despite conservative management, she developed recurrent umbilical hernia, tense ascites, and umbilical fistula . During the sixth laparoscopic exploration, she was found to have malignant mesothelioma arising from a benign cystic lesion.
Symptoms And Survival
BMPM was first described in 1928 by Plaut, who incidentally observed loose pelvic cysts during an operation for uterine leiomyoma. The mesothelial origin was later confirmed by electron microscopy . A few reports proposed a possible genetic or familial predisposition for BMPM. Specifically, one case report, published by Curgunlu et al. , describes a man with familial Mediterranean fever who developed BMPM. Although familial Mediterranean fever is linked to development of malignant mesothelioma, the patient was found to have BMPM without malignant mesothelioma. of the peritoneum is a rare tumor with a high local recurrence rate.
The mean diameter of MPCM is 13 cm at the time of diagnosis . McFadden DE, Clement PB. Peritoneal inclusion cysts with mural mesothelial proliferation. Different from malignant peritoneal mesothelioma, there is no association with asbestosexposure 5,8,9.
Ball NJ, Urbanski SJ, Green FH, Kieser T. Pleural multicystic mesothelial proliferation. Urbańczyk K, Skotniczny K, Kuciński J, Friediger J. Mesothelial inclusion cysts (so-called biphasic mesothelioma pathology outlines)–a clinicopathological analysis of six cases. The biological behavior of BMPM is characterized by its slowly progressive process and high rate of recurrence after surgical resection. In addition this lesion does not present a strong tendency to transform into malignancy. A 74-year-old male with a past medical history of diverticulitis presented to the clinic in November 2018 for evaluation of a recurrent 13.5 cm right lower quadrant paracolic gutter fluid collection . The patient was first diagnosed with an intraabdominal fluid collection in 2017, status post CT-guided interventional radiology drainage, and positron emission tomography CT scan, which were negative for malignancy.