"Tumor recurrence was reported in half of the patients even complete cytoreduction was achieved  . Therefore, routine followup with imaging techniques is required in patients after operation . Our patient was ended up with a recurrence of BMPM 15 years later following her first operation suggesting long term followup is necessary in patients with BMPM. "
[Show abstract][Hide abstract] ABSTRACT: Benign multicystic peritoneal mesothelioma (BMPM) is a rare disease arising from the peritoneal mesothelium. Here, we report a 57-year-old woman admitted to our unit with an incisional hernia fifteen years later following her first operation due to BMPM. Computerized tomography demonstrated a cystic appearing mass with intraabdominal extension in hernia sac. The patient underwent en bloc resection of the mass and hernia repair. An immunohistochemical analysis of the mass confirmed the recurrence of BMPM. Our case supports that BMPM has slowly progressive nature and can recur with complicated incisional hernia long time after primary resection. Diagnosis and long-term followup are crucial for clarifying the characteristics of this disease.
"Patients usually complain of abdominal pain, anorexia, vague abdominal distress or palpable abdominal mass . Less frequently it may be found incidentally on routine physical or imaging examinations without any symptoms, as in our case . "
[Show abstract][Hide abstract] ABSTRACT: Cystic mesotheliomas are benign neoplasms, often seen in the parietal and visceral peritoneum, omentum and pelvic organs, and are exceedingly rare in the liver. It is however important to be familiar with the radiological findings of this tumour because the signal-intensity and enhancement pattern of this tumor are unusual and not typical for any of the more frequently seen mass lesions. In our patient, characteristic imaging findings on dynamic contrast-enhanced MRI and histopathological confirmation with appropriate immunohistochemical markers facilitated a correct diagnosis. We herein describe the clinical, imaging and histopathological features, pathogenesis, differential diagnosis and treatment of benign cystic mesothelioma involving posterior segment of the right lobe of the liver.
European Journal of Radiology Extra 05/2009; 70(2-70). DOI:10.1016/j.ejrex.2008.11.001
[Show abstract][Hide abstract] ABSTRACT: Asymptomatic retroperitoneal fluid is rarely detected. We encountered a young man with known nephrotic syndrome who presented with left-sided abdominal pain. He had very little peripheral edema, but a massive fluid collection around a "floating" left kidney, as determined by three different imaging studies. Large amounts of fluid and a cyst surrounding the kidney were removed laparascopically and malignancy was excluded. The patient had a rare benign cystic mesothelioma together with focal-segmental glomerulosclerosis. Both diseases do not seem to be causally related. Complete surgical resection of the mesothelioma is the definitive treatment. If resection is incomplete, recurrence is frequent. Indeed, when our patient returned some years later for an elective hernia repair, the fluid collection had recurred.
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