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Multicystic Mesothelioma of the Peritoneum

Liem T. Bui-Mansfield1, Gina Kim-Ahn2 and Larry K. O'Bryant3

1 Department of Radiology, Keller Army Community Hospital, West Point, NY 10996-1197; Division of Radiologic Sciences, Department of Radiology, Wake Forest University School of Medicine, Medical Center Blvd., Winston-Salem, NC 27157-1088; and Departments of Radiology and Nuclear Medicine, Uniformed Services University of Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD 20814-4799.
2 Department of Radiology, Madigan Army Medical Center, Bldg. 9040, Fitzsimmons Dr., Tacoma, WA 98431-0001.
3 Department of Pathology, Madigan Army Medical Center, Tacoma, WA 98431-0001.



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  		Fig. 1A. —Multicystic mesothelioma of peritoneum in 44-year-old woman. Pelvic sonogram shows mixed solid and complex multilocular cystic mass. Fine septations are seen within cystic component.

 


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  		Fig. 1B. —Multicystic mesothelioma of peritoneum in 44-year-old woman. Axial T2-weighted MR image shows complex cystic mass (arrows) adhering to uterine fundus. Fine septations are visible in cystic component.

 


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  		Fig. 1C. —Multicystic mesothelioma of peritoneum in 44-year-old woman. Photograph of hysterectomy specimen shows irregular, multilocular cystic mass (M) attached to uterine fundus (U).

 


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  		Fig. 1D. —Multicystic mesothelioma of peritoneum in 44-year-old woman. Photomicrograph of specimen shown in C shows multiple mesothelium-lined cysts surrounded by fibrovascular stroma with adenomatoid changes. (H and E, x10)

 

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