Benign multicystic peritoneal mesothelioma in a cesarean-section scar presenting as a fungating mass.
We report a case of a benign multicystic mesothelioma, which presented as a fungating mass through the anterior abdominal wall and arose in a cesarean-section scar without direct peritoneal involvement. A wide local excision was done and the diagnosis was confirmed by histopathology and immunohistochemistry. The postoperative course was uneventful and the patient is asymptomatic at 3 years' follow-up. Although a history of previous abdominal surgery has been reported in a patient with benign multicystic mesothelioma, to the best of our knowledge, there is no report of a benign multicystic mesothelioma arising in a cesarean-section scar or presentation as a fungating skin mass. This unusual presentation may point to a traumatic or inflammatory etiology, although seeding of the wound during the previous surgeries is a more likely postulate. A pertinent review of the literature on benign multicystic mesothelioma is also presented.
Cuartas
Juan E
JE
Department of Musculoskeletal Oncology, University of Miami Miller School of Medicine, Miami, FL, USA.
Maheshwari
Aditya V
AV
Qadir
Rabah
R
Cooper
Andrew J
AJ
Robinson
Philip G
PG
Pitcher
J David
JD
D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects*; D002921:Cicatrix / Q000473:pathology*; D005260:Female; D006801:Humans; D018261:Mesothelioma, Cystic / Q000473:pathology*; D010534:Peritoneal Neoplasms / Q000473:pathology*