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[Unexpected diagnosis of a cystic pelvic mass: benign mesothelioma of the uterus: case report]. | LitMetric

AI Article Synopsis

  • - A 30-year-old woman experienced pelvic pain, leading to an ultrasound that revealed a cystic mass in her pelvis; laparoscopic surgery confirmed it was a benign mesothelioma in the uterus.
  • - The diagnosis was supported by histologic examination and immunochemistry, distinguishing it from other conditions like leiomyoma and ovarian cysts.
  • - The prognosis for benign mesothelioma of the uterus is positive, with no reported cases of recurrence or malignant change after treatment.

Article Abstract

Background: Benign mesothelioma is a rare tumour mostly found in the genital tract.

Case: We report the case of 30-years old woman presenting pelvic pain. The ultrasound scan revealed a cystic pelvic mass. Laparoscopic exploration showed a uterine posterior formation. The resection of the dome was performed. Histologic exam and immnunochemistry concluded to a benign cystic mesothelioma.

Conclusion: The benign mesothelioma of the uterus is usually discovered in histology, differential diagnosis for solid forms can be made with leiomyoma or adenomyoma, whereas the cystic forms can be discussed essentially with the ovarian cysts. The presence of mesothelial immunophenotype in immunochemistry improves diagnosis. Clinical outcome is always favourable without recurrence or malignant transformation.

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