International Journal of Clinical Oncology. 2008 Jun;13(3):275-8. Epub 2008 Jun 14. [Link]

Cuartas JE, Maheshwari AV, Qadir R, Cooper AJ, Robinson PG, Pitcher JD Jr.

Department of Musculoskeletal Oncology, University of Miami Miller School of Medicine, Miami, FL, USA.


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.

Keywords: Benign multicystic mesothelioma – Peritoneal cyst – Peritoneal inclusion cyst – Peritoneal tumors – Cesarean-section scar lesions