PMC6704382_01
CT scan of mass measuring 8.0 x 8.4 x 9.4 cm: axial, coronal, and sagittal views.
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A CT scan of her abdomen and pelvis showed a large cyst partially abutting the inferior pole of the left kidney that was not clearly renal in origin (Fig. 1).
Laparoscopic view of mass prior to excision.
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The mass was caught with a 15 mm endobag, needle decompression of cyst fluid was done while in the bag, and the bag was delivered out through a 15 mm trocar site (Figs. 2-4).
Dissected view of the mesenteric mucinous cystic neoplasm.
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The mass was caught with a 15 mm endobag, needle decompression of cyst fluid was done while in the bag, and the bag was delivered out through a 15 mm trocar site (Figs. 2-4).
Laparoscopic specimen retrieval bag in use to remove the cystic mass through a 15 mm trocar site.
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The mass was caught with a 15 mm endobag, needle decompression of cyst fluid was done while in the bag, and the bag was delivered out through a 15 mm trocar site (Figs. 2-4).
(left) 10x, Low-power microscopic view of cyst highlighting mucinous epithelium without cytologic atypia or architectural complexity. The subepithelial tissue was predominantly fibrous, without diagnostic ovarian-like stroma. (right) 60x, High-power microscopic view of cyst highlighting bland mucinous epithelium.
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The final pathology report revealed benign mucinous epithelium without significant cytologic or architectural atypia in a background of fibrous tissue, consistent with a benign mucinous cystic neoplasm of mesenteric origin (Fig. 5).