国际妇产科学杂志2026，Vol.53Issue(1)：38-42,5.DOI:10.12280/gjfckx.20250705
良性多囊性腹膜间皮瘤二例
Benign Multicystic Peritoneal Mesothelioma:A Report of Two Cases
孙壬涟 1思彩霞 1程岳 1魏敏 2许飞雪2
作者信息
- 1. 730000 兰州大学第一临床医学院
- 2. 兰州大学第一医院妇产科
- 折叠
摘要
Abstract
Benign multicystic peritoneal mesothelioma(BMPM)is an exceedingly rare peritoneal neoplasm characterized by a high recurrence rate and potential for malignant transformation.Preoperative diagnosis remains challenging;lesions are usually encountered incidentally during surgery.Optimal management is controversial,and long-term postoperative surveillance is mandatory.We describe two patients with BMPM confirmed by postoperative histopathology.Case 1:a pelvic mass was incidentally detected on gynecologic ultrasound performed for abdominal distension.Laparoscopic evacuation of loculated pelvic fluid,resection of a right para-tubal cyst,and adhesiolysis were performed;ultrasound at 2 months showed no residual disease,but the patient was subsequently lost to follow-up.Case 2:the patient had undergone surgery for BMPM in 2021;four years later,recurrence was identified during evaluation for failed oocyte retrieval.Multifocal cystectomy and bilateral tubal ligation were completed,followed by assisted reproductive technology;no gynecologic follow-up has since been recorded.Preoperative diagnosis of BMPM is difficult,and clinicians need to strengthen differentation from disease with similar imaging findings.BMPM should be considered when multiple cystic peritoneal lesions are observed.A detailed occupational and prior surgical history is essential to improve pre-operative diagnostic accuracy.关键词
间皮瘤,囊性/不育,女性/诊断/治疗/预后Key words
Mesothelioma,cystic/Infertility,female/Diagnosis/Therapy/Prognosis引用本文复制引用
孙壬涟,思彩霞,程岳,魏敏,许飞雪..良性多囊性腹膜间皮瘤二例[J].国际妇产科学杂志,2026,53(1):38-42,5.
