Anatomo-Clinical Analysis of 14 Consecutive Cases of Primary Cystic Mesenterico-Epiploic Tumors
P.V.H. Boţianu, M. Gliga, S.C. Moldovan, A.M.V. Boţianu, A. Bacarea, A.M. Boţianu, Z.A. SzaszOriginal article, no. 5, 2014
Background: The aim of this study is an anatomo-clinical evaluation of the primary cystic mesenterico-epiploic tumors,based on a single-center's 15 year experience.
Material and method: We performed a retrospective study of aseries of 14 primary cystic mesenterico-epiploic tumors thatwere operated in the Surgical Department 4 UMPh Targu-Mures, Romania, between 01.01.1997 and 01.01.2012. Dataabout the clinical complaints, imagistic aspects, associated lesions, surgical approach, hospitalization, pathology, andimmediate and late postoperative course were recorded andanalysed using the Microsoft Excel software.
Results: In all cases we performed a complete and intactsurgical excision, using an open approach in 13 cases andlaparoscopy in 1 case, with no mortality and no significantsurgical-related morbidity; we have encountered a singlerecurrence at 1.5 years after surgery. We had no preoperativepathological diagnosis; the exact preoperative anatomiclocation of the tumor was possible only in one case. Pathologicexamination showed the following types: inclusion cysts - 4cases, enteral duplication cysts - 2 cases, simple mesothelialcysts - 6 cases, cystic lymphangioma - 1 case and simplelymphatic cyst - 1 case. We have systematized 3 clinicoimagisticpatterns according to the dimension of the tumor,with no relationship to the histologic origin of the tumor.
Conclusions: Primary cystic mesenterico-epiploic tumors aredifficult to diagnose preoperatively. Complete excision isusually possible, even for large tumors. These relatively raretumors must be considered in the differential diagnosis ofcystic abdominal masses.
Material and method: We performed a retrospective study of aseries of 14 primary cystic mesenterico-epiploic tumors thatwere operated in the Surgical Department 4 UMPh Targu-Mures, Romania, between 01.01.1997 and 01.01.2012. Dataabout the clinical complaints, imagistic aspects, associated lesions, surgical approach, hospitalization, pathology, andimmediate and late postoperative course were recorded andanalysed using the Microsoft Excel software.
Results: In all cases we performed a complete and intactsurgical excision, using an open approach in 13 cases andlaparoscopy in 1 case, with no mortality and no significantsurgical-related morbidity; we have encountered a singlerecurrence at 1.5 years after surgery. We had no preoperativepathological diagnosis; the exact preoperative anatomiclocation of the tumor was possible only in one case. Pathologicexamination showed the following types: inclusion cysts - 4cases, enteral duplication cysts - 2 cases, simple mesothelialcysts - 6 cases, cystic lymphangioma - 1 case and simplelymphatic cyst - 1 case. We have systematized 3 clinicoimagisticpatterns according to the dimension of the tumor,with no relationship to the histologic origin of the tumor.
Conclusions: Primary cystic mesenterico-epiploic tumors aredifficult to diagnose preoperatively. Complete excision isusually possible, even for large tumors. These relatively raretumors must be considered in the differential diagnosis ofcystic abdominal masses.
