10 April 2025
: Case report 
Navigating Fertility Preservation in Epithelioid Peritoneal Mesothelioma: A Case Study
Challenging differential diagnosis, Unusual setting of medical care, Rare disease
Daniel Wang Qiu
1BCEF, Yi-Jin Lin Lee 1BCEF, Garima Tripathi123BCEF, Dito Anurogo 4BCEF, Cheng-Fu Ni5CD, Wei-Chin Chang 6BCD, Hao-Sheng Fu3BCD, J. Timothy Qiu137ABCDEFG*
DOI: 10.12659/AJCR.946585
Am J Case Rep 2025; 26:e946585
Figure 6. Laparoscopic fertility-sparing surgery with HIPEC (November 5th, 2020): Intraoperative findings and surgical notes. (A) The PCI score was 14, indicating extensive peritoneal involvement, with tumors mainly in the pelvis and lower abdomen. The diagram shows numerous nodules over 1 cm. (B) Surgical exploration revealed multiple miliary tumors (0.1–1 cm) scattered across the peritoneum, mesentery, omentum, and abdominal wall, indicating widespread tumor dissemination. (C) The images show a hydatidiform lesion in the upper quadrant and tumor spread into the pelvic region, highlighting extensive abdominal disease (ovaries).