Remote Recurrence of Benign Multicystic Peritoneal Mesothelioma

J Obstet Gynaecol Can. 2017 Nov;39(11):1042-1045. doi: 10.1016/j.jogc.2017.04.038. Epub 2017 Jul 18.

Abstract

Background: Benign peritoneal cystic mesothelioma (BPCM) is a rare disease entity that arises from mesothelioma cells. We describe a rare case of BPCM recurrence 36 years after its initial presentation.

Case: A 62-year-old woman was referred to an outpatient gynaecologic oncology clinic with an incidental finding of multiple pelvic cysts. She had a preceding history of known BPCM treated with extensive debulking surgery. She presented after 36 years of clinical remission. A repeat laparotomy for a debulking surgical procedure confirmed a recurrence of BPCM.

Conclusion: Our current case represents a woman with a remote recurrence of BPCM after initial optimal debulking surgery. Her clinical presentation of recurrence after 36 years illustrates the need for long-term follow-up and clinical suspicion in symptomatic patients with previously diagnosed BPCM.

Keywords: Cystic mesothelioma; peritoneal mesothelioma; recurrence.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Female
  • Humans
  • Hysterectomy
  • Laparoscopy
  • Mesothelioma, Cystic / diagnosis*
  • Mesothelioma, Cystic / pathology
  • Mesothelioma, Cystic / surgery
  • Middle Aged
  • Neoplasm Recurrence, Local / diagnosis*
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Recurrence, Local / surgery
  • Peritoneal Neoplasms / diagnosis*
  • Peritoneal Neoplasms / pathology
  • Peritoneal Neoplasms / surgery