Abstract
1/2014
Case reportPeritoneal cylindromatosis – a rare teratomatous dissemination
Contemp Oncol (Pozn) 2014; 18
Online publish date: 2014/02/12
A rare case of disseminated peritoneal cylindromatosis was presented. A young woman was admitted to hospital after removal of a right ovarian cystic tumour. Multiple histological re-examinations suggested the presence of a dermoid cyst, i.e. adult teratoma additionally with granulosa cell tumour and endometrioid cancer. Six years after complete removal of neoplastic foci, a routine examination revealed multiple nodular lesions inside the pelvis and in the pelvic peritoneum. Multiple histological studies confirmed the presence of a cylindroma. Based on the broad histochemistry and immunohistochemistry (periodic acid Shiff, Ber-EP4, p63, CKAE1/AE3, CEA positive, as opposed to negative results with inhibin, calretinin, CK7 and only focally positive for EMA; Ki 67 mitotic index did not exceed 5% of cells), granulosa cell tumour and endometrioid cancer was excluded. A comparison of the surgical material with the specimens taken from the primary lesion operated eight years earlier showed a similarity of histological images. Our case of peritoneal dissemination of eccrine cylindroma arising from dermoid cyst suggests the introduction of the term peritoneal cylindromatosis for similar cases.
Keywords
adult teratoma, cylindroma, peritoneum, tumour dissemination