title: [A case of ascities decrease in malignant peritoneal mesothelioma by weekly intra-peritoneal administration of cisplatin and paclitaxel].
abstract: We report a case of malignant peritoneal mesothelioma (MPM) in a 63-year-old man. He had body weight loss and abdominal distension for one month, and was admitted to our hospital. Abdominal sonography showed a large mass occupying the right lower abdomen and an existence of a lot of ascites. Computed tomography and magnetic resonance image showed a lot of ascites and omentum cake. Cytology of the ascites was Class V but its histological classification was unknown. Then we performed biopsy of the tumor into the omentum with abdominal sonography. The histological diagnosis was MPM because the tumor cells showed positive for calretinin. He received a combination chemotherapy of weekly intra-peritoneal administration of cisplatin (70 mg/ day) and paclitaxel (100 mg/day). The ascites was decreased and per os (PO) was possible, but omentum cake was not changed. MPM was poor in prognosis and the control of ascites was difficult. We suggest that the chemotherapy of intra-peritoneal administration was a better procedure than others to control ascites with malignant tumors.
authors.affiliation: Division of Surgery, Tokyo Metropolitan Toshima Hospital.
authors.forename: Katsunori
authors.initials: K
authors.lastname: Ami
authors.forename: Takeshi
authors.initials: T
authors.lastname: Nagahama
authors.forename: Masayuki
authors.initials: M
authors.lastname: Andou
authors.forename: Kimitoshi
authors.initials: K
authors.lastname: Nawa
authors.forename: Hideaki
authors.initials: H
authors.lastname: Ganno
authors.forename: Masahide
authors.initials: M
authors.lastname: Ohbu
authors.forename: Kyoniru
authors.initials: K
authors.lastname: Kimu
authors.forename: Tetsushi
authors.initials: T
authors.lastname: Ito
authors.forename: Akie
authors.initials: A
authors.lastname: Yamauchi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ichikawa
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kobo
authors.forename: Emi
authors.initials: E
authors.lastname: Takaba
mesh_terms: D000970:Antineoplastic Agents / Q000008:administration & dosage; D000972:Antineoplastic Agents, Phytogenic / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D001201:Ascites / Q000188:drug therapy*; D002945:Cisplatin / Q000008:administration & dosage; D006801:Humans; D007263:Infusions, Parenteral; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis / Q000188:drug therapy*; D008875:Middle Aged; D017239:Paclitaxel / Q000008:administration & dosage; D010534:Peritoneal Neoplasms / Q000175:diagnosis / Q000188:drug therapy*
chemical_list: D000970:Antineoplastic Agents; D000972:Antineoplastic Agents, Phytogenic; D017239:Paclitaxel; D002945:Cisplatin