IMR Press / EJGO / Volume 35 / Issue 1 / DOI: 10.12892/ejgo24112014

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Diagnostic laparoscopy identifies a peritoneal adenomatoid-like mesothelioma masquerading as ovarian cancer: a case report
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1 Department of Obstetrics and Gynecology, Fukuchiyama City Hospital, Fukuchiyama City
2 Department of Surgery, Fukuchiyama City Hospital, Fukuchiyama City
3 Department of Pathology, Fukuchiyama City Hospital, Fukuchiyama City
4 Department of Obstetrics and Gynecology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto (Japan)
Eur. J. Gynaecol. Oncol. 2014, 35(1), 91–94; https://doi.org/10.12892/ejgo24112014
Published: 10 February 2014
Abstract

The authors report a rare case of peritoneal adenomatoid mesothelioma in a woman with no history of asbestos exposure. A 61-yearold woman was originally suspected of having a bilateral ovarian tumor based on chest radiography and magnetic resonance imaging (MRI). Upon referral to our hospital, the presence of two solid masses was confirmed by enhanced MRI and 18F-fluorodeoxyglucose positron-emission tomography/computed tomography (18F-FDG-PET/CT). Physical examination was normal, as were serum concentrations of the tumor markers CA 19-9, CA 125, and CEA. Laparoscopic surgery showed a right ovarian tumor and laparoscopic rightsalpingo-oophorectomy and adhesiotomy were performed. Two months later, the patient underwent laparoscopic segmental resection of the sigmoid colon, with histological analysis identifying an adenomatoid-like tumor. The final diagnosis was peritoneal adenomatoid-like mesothelioma with invasion of the right ovary. This case report demonstrates that imaging techniques must be coupled with laparoscopic surgery for an accurate diagnosis of peritoneal mesothelioma.
Keywords
Laparoscopic surgery
Methothelioma
Adenomatoid-like tumor
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