Benign Multicystic Peritoneal Mesothelioma Discovered during Gynecologic Laparoscopic Surgery after Chemotherapy: A case report

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Published: Sep 8, 2023
DOI: https://doi.org/10.14456/tjog.2023.43
Keywords:
benign multicystic peritoneal mesothelioma chemotherapy infertility

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Yu Horibe
Tokyo Women’s Medical University Department of Obstetrics and Gynecology Institutional, Tokyo, Japan
Takashi Motohashi
Tokyo Women’s Medical University Department of Obstetrics and Gynecology Institutional, Tokyo, Japan
Kanoko Shimoji
Tokyo Women’s Medical University Department of Obstetrics and Gynecology Institutional, Tokyo, Japan
Akira Nakabayashi
Tokyo Women’s Medical University Department of Obstetrics and Gynecology Institutional, Tokyo, Japan
Jun Kumakiri
Tokyo Women’s Medical University Department of Obstetrics and Gynecology Institutional, Tokyo, Japan
Tsutomu Tabata
Tokyo Women’s Medical University Department of Obstetrics and Gynecology Institutional, Tokyo, Japan

Abstract

Benign multicystic peritoneal mesothelioma (BMPM) is an extremely rare intraperitoneal tumor that has been associated with endometriosis, pelvic inflammatory disease, and previous abdominal surgery. BMPM is a benign disease with an unknown etiology and clinical problems. The woman with no childbearing history developed intravascular large cell lymphoma at the age of 42 years, was treated with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone (R-CHOP). After chemotherapy, the patient developed ovarian insufficiency, and gradually increased the left ovarian cyst of 7 cm in diameter. We planned laparoscopic bilateral adnexectomy to prevent left ovarian torsion and to search for pathology. After surgery, these cysts were pathologically diagnosed as BMPM. Problems of BMPM are high rate of recurrence, impairing quality of life and fertility due to causing in young age. Chemotherapy would be one of risk factor causing BMPM, since there are many reports of BMPM occurring in young women, gynecologists should take fertility into consideration when treating these patients.

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How to Cite
(1)
Horibe, Y.; Motohashi, T.; Shimoji, K.; Nakabayashi, A.; Kumakiri, J.; Tabata, T. Benign Multicystic Peritoneal Mesothelioma Discovered During Gynecologic Laparoscopic Surgery After Chemotherapy: A Case Report. Thai J Obstet Gynaecol 2023, 31, 382-385.
Issue
VOL. 31, NO. 5: (September - October 2023)
Section
Case Report
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