Multicystic Benign Cystic Mesothelioma Presenting as a Pelvic Mass

Abstract EN

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.