cystic peritoneal mesothelioma radiology - Reference Article

Cystic peritoneal mesothelioma radiology - A multicystic mesothelioma ia a rare benign sub type of mesothelioma.

Epidemiology

They tend to occur in young females

Pathology

Typically comprises of multiple grape - like clusters of cysts which are lined with mesothelium and separated by fibrous tissue components.

Risk Factor


  • Previous abdominal sugery
  • Previous pelvic inflamattory disease
  • No recognised assosiation with absestos exposure

Location

Primarily occurs in the pelvic peritonium

Radiograpic Feature 

Ultrasound

May appear as a multicstic pelvic mass

CT


  • Typically seen as a well - defined low attenuatung pelvic mass.
  • Calcification is generally not a feature
Treatment and prognosis

Surgery is the preffered option for localiced lesions, The tumour tends to recurs locally. Not thought to be chemo or radio sensitive.

Differential Diagnosis

The general differential includes

  • Ovarian cystadenoma
  • Ovarian cystadenocarcinoma
  • Endometriotis
  • Cystic teratoma

 

 

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