腹膜包涵之囊腫是指腹膜包成的死腔,內容物為腹腔液,並非真正的腫瘤。這些患者多曾接受過骨盤腔手術,曾患子宮內膜異位或骨盤腔發炎等造成沾黏的狀況,囊腫的內襯除腹膜間皮細胞外,可能為腸子、大網膜、韌帶、輸卵管或腹壁,是假的囊腫,治療可先考慮保守性治療,如抽吸、Depo-provera、GnRHa和避孕藥等。切除全部卵巢和病灶,是最後最徹底的方法。
Multilocular peritoneal inclusion cysts are uncommon cystic mesothelial proliferatives that may involve extensively the pelvis, upper abdomen, and retroperitoneum. The cyst walls consisted of connective tissue stroma infiltrated by chronic inflammatory cells and lined by flattened or cuboidal mesothelial cells. Ultrasound-guided aspiration, injection of Depo-provera, gonadotropin-releasing hormone analogue (GnRHa) or hormonal contraceptive agent should be considered and effective alternative to surgery in management of selected patients with peritoneal inclusion cysts.