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Replacement of the uterus by malignant mesothelioma of the periteneum: A case report.

  • V. Dousias1
  • S. Chouliara1
  • C. Zioga1
  • G. Koliopoulos1
  • E. D. Lolis1
  • N. Dalkalitsis1
  • E. Paraskevaidis1,*,

1Department of Obstetrics and Gynecology, loannina University Hospital, Ioannina, Greece

DOI: 10.12892/ejgo200103233 Vol.22,Issue 3,May 2001 pp.233-235

Published: 10 May 2001

*Corresponding Author(s): E. Paraskevaidis E-mail:

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Abstract

Malignant mesothelioma of the peritoneum is a rare tumor that must be distinguished from the more common primary peritoneal serous epithelial neoplasms. We report a case of a 66-year-old female presenting with weight loss, anemia, and a large pelvic mass on ultrasound. At laparotomy a large (9 x 6.5 x 3.5 cm) mass in the anatomical position of the uterus was found in the minor pelvis. The uterus, tubes and ovaries could not be identified. Palpable paraaortic lymph nodes and liver nodules were found. Immunohistochemically the tumor cells were positive for cytokeratin, epithelial membrane antigen and vimentin-CEA, but S-100 protein and Leu-M1 were negative. Remnants of the uterine corpus, fallopian tubes and ovaries could not be identified. The overall features were best regarded as malignant peritoneal mesothelioma. There have been reports of mesotheliomas involving the uterus. However, this is the first reported case of mesothelioma causing total replacement of the uterus.

Keywords

Mesothelioma, peritoneum, uterus, female genital tract

Cite and Share

V. Dousias,S. Chouliara,C. Zioga,G. Koliopoulos,E. D. Lolis,N. Dalkalitsis,E. Paraskevaidis. Replacement of the uterus by malignant mesothelioma of the periteneum: A case report.. European Journal of Gynaecological Oncology. 2001. 22(3);233-235.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200103233

References

[1] Goldblum J., Hart W.R.: "Localized and diffuse mesotheliomas of the genital tract and peritoneum in women. A clinicopathologic study of nineteen true mesothelial neoplasms, other than adenomatoid tumors, multiscystic mesotheliomas, and localized fibrous tumors".Am. J. Surg. Pathol., 1995, 19, 1124.

[2] Miyamoto T., Hayashi H., Sengoku K., Ojima H., Tokusashi Y., Yaginuma Y. et al.: "Diffuse malignant mesothelioma of the uterus". Acta Obstet. Gynecol. Scand., 2000, 79, 154.

[3] Fox H.: "Primary neoplasia of the female peritoneum". Histopathology , 1993, 23, 103.

[4] Bollinger D. J., Wick M. R.. Dehner L. P., Mills S. E., Swanson P E., Clarke R. E.: "Peritoneal malignant mesothelioma versus serous papillary adenocarcinoma. A histochemical and immunohi stochemical comparison". Am. J. Surg. Pathol., 1989, 13 659.

[5] Gitsch G., Tabery U., Feig! W., Breitenecker G.:'The differential diagnosis of primary peritoneal papillary tumors". Arch. Gynecol Obstet., 1992, 251, 139.

[6] Averbach A. M., Sugarbaker P. H.: "Peritoneal mesothelioma treatment approach based on natural history". Cancer Treat. Res., 1996, 81, 193.

[7] Sridhar K. S., Doria R., Raub W. A., Thurer R. J., Saldana M.: "New strategies are needed in diffuse malignant mesothelioma". Cancer, 1992, 70, 2969.

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