[A case of peritoneal mesothelioma without a history of asbestos exposure].
Peritoneal mesothelioma is an unusual disease which diffusely involves the peritoneal surface. The incidence is approximately one per 1,000,000, and one fifth to one third of all mesothelioma are peritoneal in origin. Asbestos exposure is linked to the development of peritoneal mesothelioma as a significant etiology, but further investigation should be conducted. Abdominal sonography, abdominal CT and cytologic examination of ascitic fluid are used to confirm the diagnosis, but rarely provides proper diagnosis. Laparoscopy with biopsy is the most common diagnostic method for definite diagnosis of mesothelioma. Cytoreductive surgery and intraperitoneal chemotherapy have been suggested for better survival since the median survival after the initial diagnosis is near to 50 months. This report describes a case of 73-years-old male patient presented with abdominal pain and distension. This patient had not been exposed to asbestos. Abdominal sonography and CT showed massive ascites, multiple omental masses and peritoneal thickening. It was difficult to distinguish peritoneal mesothelioma from carcinomatosis. Laparoscopy and peritoneal biopsy was conducted and immunostaining examination confirmed the diagnosis of peritoneal mesothelioma.
Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea.
Jae Hyong
JH
Lee
Eun Ju
EJ
Lim
Eun Sil
ES
Lee
Ja Young
JY
Lee
Hyoung Su
HS
Kim
So Young
SY
Park
Kyoung Ho
KH
Kim
Joon Yong
JY
Park
Ja Young
JY
Lee
Myoung Kuk
MK
Jang
Jin Heon
JH
Lee
Hak Yang
HY
Kim
Jae Young
JY
Yoo
Eun Sook
ES
Nam
Seong Jin
SJ
Jo
Eun Joo
EJ
Yun
Mi Jung
MJ
Kim
D000368:Aged; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D010534:Peritoneal Neoplasms / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery