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Differential diagnosis includes both benign and malignant abdominal lesions including cystic lymphangioma, endosalpingiosis, adenomatoid tumors, mesonephric duct remnants, malignant mesothelioma, sarcoma, and non-Hodgkin’s lymphoma.8,11 Clinically, the differential diagnosis of BMCM from other ovarian tumors is important, since BMCM can be treated with ovarian preservation techniques.11
Multicystic mesothelioma is not chemo- or radiosensitive. No correlation exists between the extent of the tumor and the patient’s survival.Treatment for localized lesions is total surgical excision, and for more extensive lesions,debulking procedures are performed