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International Journal of Current Microbiology and Applied Sciences (IJCMAS)
IJCMAS is now DOI (CrossRef) registered Research Journal. The DOIs are assigned to all published IJCMAS Articles.
Index Copernicus ICI Journals Master List 2018 - IJCMAS--ICV 2018: 95.39 For more details click here
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National Academy of Agricultural Sciences (NAAS)
NAAS Score: *5.38 (2019)
[Effective from January 1, 2019]
For more details click here

ICV 2018: 95.39
Index Copernicus ICI Journals Master List 2017 - IJCMAS--ICV 2018: 95.39
For more details click here

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Original Research Articles

PRINT ISSN : 2319-7692
Online ISSN : 2319-7706
Issues : 12 per year
Publisher : Excellent Publishers
Email : editorijcmas@gmail.com / submit@ijcmas.com
Editor-in-chief: Dr.M.Prakash
Index Copernicus ICV 2017: 100.00
NAAS RATING 2018: 5.38

Int.J.Curr.Microbiol.App.Sci.2016.5(12): 848-857
DOI: http://dx.doi.org/10.20546/ijcmas.2016.512.093


Use of the Cavitron Ultrasonic Surgical Aspirator (CUSA) as a Conservative Surgery Alternative in Benign, Disseminated Peritoneal Mesothelioma
Lasse Leicher1, Luz Angela Torres-de-la-Roche2 and Rudy Leon De Wilde2*
1University of Groningen, Groningen, the Netherlands
2Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University Oldenburg, Germany   
*Corresponding author
Abstract:

Benign peritoneal cystic mesothelioma is a rare disease of the abdominal cavity with grape – like cystic lesions, solitary or disseminated. The etiology is unclear, with a neoplastic or reactive origin being the prominent considerations. Because of its high recurrence rate and occasional malignant transformation, radical surgical approaches with optional hyperthermic intraperitoneal Chemotherapy have increasingly been advocated with mixed results. We present a case report with a new conservative approach using the Cavitron ultrasonic surgical aspirator for the first time in benign cystic mesothelioma of the peritoneum and a review of the literature about the treatment of this condition. A 47-year-old female with a history of abdominal surgery, including endometriosis excision and hysterectomy presented with upper abdominal discomfort. Ultrasound and magnetic resonance imaging showed two peritoneal tumors with multiple thin–layered cysts. Exploratory laparoscopy revealed multiple cystic masses. Biopsies showed no malignant cells, no positive markers for borderline – tumors (HEA125) but calretin in positive lining cells as well as PAX8 – positive covering cells, making a benign cystic mesothelioma the most likely diagnosis. The patient exhibited adhesions due to prior surgeries. Because of the high recurrence risk of benign mesotheliomas and the small chances of malignant transformation, we destroyed all cysts using ultrasound vaporization. The patient recovered without complications. Laparoscopic use of the Cavitron ultrasonic surgical aspirator system is a safe procedure with low risks and comorbidity, which minimizes adhesions formation and can be performed as a conservative alternative to currently popular radical therapy in benign peritoneal cystic mesothelioma.


Keywords: Mesothelioma, Cystic/surgery; Peritoneal Neoplasms; Cytoreduction surgical procedures, HIPEC; CUSA.
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How to cite this article:

Lasse Leicher, Luz Angela Torres-de-la-Roche and Rudy Leon De Wilde. 2016. Use of the Cavitron Ultrasonic Surgical Aspirator (CUSA) as a Conservative Surgery Alternative in Benign, Disseminated Peritoneal Mesothelioma.Int.J.Curr.Microbiol.App.Sci. 5(12): 848-857. doi: http://dx.doi.org/10.20546/ijcmas.2016.512.093