Gliomatosis
Definition
Presence of mature glial tissue in the abdominal cavity, most often in association with an immature teratoma, less frequently with mature cystic teratomas, mixed germ cell tumors, and ventriculoperitoneal shunts. The appearance after chemotherapy has been termed “Growing teratoma syndrome.”
Clinical Features
Incidence
Rare.
Age
Children or young adults.
Sex
Affects both genders.
Site
Peritoneum.
Treatment
Surgery.
Outcome
Generally good, except for rare cases with malignant transformation. Recurrence is observed in some cases but is effectively managed surgically.
Macroscopy
Typically multiple small nodules, occasionally larger foci.
Microscopy
Nodules of mature glial tissue, occasionally with fibrosis and inflammation (Figs. 1 and 2).
References and Further Reading
Bartosch, C., Afonso, M., Pires-Luis, A. S., Galaghar, A., Guimaraes, M., Antunes, L., & Lopes, J. M. (2017). Distant metastases in uterine leiomyosarcomas: The wide variety of body sites and time intervals to metastatic relapse. International Journal of Gynecological Pathology, 36, 31–41.
Bentivegna, E., Azais, H., Uzan, C., Leary, A., Pautier, P., Gonthier, C., Genestie, C., et al. (2015). Surgical outcomes after debulking surgery for intraabdominal ovarian growing teratoma syndrome: Analysis of 38 cases. Annals of Surgical Oncology, 22 Suppl 3, S964–S970.
Brigand, C., Arvieux, C., Gilly, F. N., & Glehen, O. (2004). Treatment of peritoneal carcinomatosis in gastric cancers. Digestive Diseases, 22, 366–373.
Carr, N. J. (2020). Updates in appendix pathology: The precarious cutting edge. Surgical Pathology Clinics, 13, 469–484.
Carr, N. J., Cecil, T. D., Mohamed, F., Sobin, L. H., Sugarbaker, P. H., Gonzalez-Moreno, S., Taflampas, P., et al. (2016). A consensus for classification and pathologic reporting of pseudomyxoma peritonei and associated appendiceal neoplasia: The results of the Peritoneal Surface Oncology Group International (PSOGI) modified delphi process. The American Journal of Surgical Pathology, 40, 14–26.
Carr, N. J., Bibeau, F., Bradley, R. F., Dartigues, P., Feakins, R. M., Geisinger, K. R., Gui, X., et al. (2017). The histopathological classification, diagnosis and differential diagnosis of mucinous appendiceal neoplasms, appendiceal adenocarcinomas and pseudomyxoma peritonei. Histopathology, 71, 847–858.
Coccolini, F., Gheza, F., Lotti, M., Virzi, S., Iusco, D., Ghermandi, C., Melotti, R., et al. (2013). Peritoneal carcinomatosis. World Journal of Gastroenterology, 19, 6979–6994.
Govaerts, K., Lurvink, R. J., De Hingh, I., Van der Speeten, K., Villeneuve, L., Kusamura, S., Kepenekian, V., et al. (2021). Appendiceal tumours and pseudomyxoma peritonei: Literature review with PSOGI/EURACAN clinical practice guidelines for diagnosis and treatment. European Journal of Surgical Oncology, 47, 11–35.
Koppe, M. J., Boerman, O. C., Oyen, W. J., & Bleichrodt, R. P. (2006). Peritoneal carcinomatosis of colorectal origin: Incidence and current treatment strategies. Annals of Surgery, 243, 212–222.
Liang, L., Zhang, Y., Malpica, A., Ramalingam, P., Euscher, E. D., Fuller, G. N., & Liu, J. (2015). Gliomatosis peritonei: A clinicopathologic and immunohistochemical study of 21 cases. Modern Pathology, 28, 1613–1620.
Nogales, F. F., Dulcey, I., & Preda, O. (2014). Germ cell tumors of the ovary: An update. Archives of Pathology & Laboratory Medicine, 138, 351–362.
Peixoto, R. D., Speers, C., McGahan, C. E., Renouf, D. J., Schaeffer, D. F., & Kennecke, H. F. (2015). Prognostic factors and sites of metastasis in unresectable locally advanced pancreatic cancer. Cancer Medicine, 4, 1171–1177.
Stein, A., Strong, E., Clark Gamblin, T., Clarke, C., Tsai, S., Thomas, J., George, B., et al. (2020). Molecular and genetic markers in appendiceal mucinous tumors: A systematic review. Annals of Surgical Oncology, 27, 85–97.
WHO Classification of Tumours Editorial Board (Female Genital Tumours) (Vol. 4, 5th ed.). (2020). Lyon: International Agency for Research on Cancer.
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Davidson, B. (2023). Secondary Tumors, Pathology of the Peritoneum. In: van Krieken, J. (eds) Encyclopedia of Pathology. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-28845-1_5678-1
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