A Case of Uterine Mesothelial Cyst Misdiagnosed as Leiomyoma with Cystic Degeneration

doi:10.12280/gjfckx.20211101

Abstract

Abstract:

Mesothelial cyst is a benign neoplastic lesion derived from mesothelial cells, mainly involves pelvic peritoneum and peritoneal peritoneum. It is more common in mesentery and omentum majus, and less in uterus. This paper reports the diagnosis and management of a patient with uterine mesothelial cyst misdiagnosed as leiomyoma with cystic degeneration in the First Affiliated Hospital of Nanjing Medical University. This patient with no typical clinical manifestations preoperatively was diagnosed as leiomyoma with cystic degeneration and underwent total hysterectomy and bilateral salpingo-oophorectomy, mainly based on imaging characteristics. But the postoperative pathology, indicated uterine mesothelial cyst. This paper analyzes the diagnosis and treatment of the patient and reviews relevant literature, discuss the differential diagnosis and treatment of uterine mesothelial cyst, in order to improve the academic vision of the disease in gynecologists and avoid misdiagnosis and underdiagnosis.

Key words: Uterine neoplasms, Leiomyoma, Mesothelioma, cystic, Dagnosis, Therapy, Prognosis

ZHU Shu, ZHANG Hui-yuan, XU Wei, WANG Cong, WANG Xiu-li. A Case of Uterine Mesothelial Cyst Misdiagnosed as Leiomyoma with Cystic Degeneration[J]. Journal of International Obstetrics and Gynecology, 2022, 49(5): 556-559.

Figures/Tables 6

References 15

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发病部位	例数（例）	占比（%）	男（例）	女（例）	年龄（岁）
附件	12	40.0	0	12	48±20
胸腔纵隔	5	16.7	2	3	55±18
子宫	4	13.3	0	4	44±8
腹腔-来源不明确	4	13.3	2	2	45±2
盆腔-来源不明确	3	10.0	1	2	42±17
大网膜	1	3.3	0	1	47
膀胱	1	3.3	0	1	34
合计	30	100.0	5	25	47±16

发病部位	例数（例）	占比（%）	男（例）	女（例）	年龄（岁）
附件	12	40.0	0	12	48±20
胸腔纵隔	5	16.7	2	3	55±18
子宫	4	13.3	0	4	44±8
腹腔-来源不明确	4	13.3	2	2	45±2
盆腔-来源不明确	3	10.0	1	2	42±17
大网膜	1	3.3	0	1	47
膀胱	1	3.3	0	1	34
合计	30	100.0	5	25	47±16