Primary omental mesothelioma: a rare but important differential diagnosis in previous asbestos exposure.
Primary omental mesothelioma is a malignant tumour of the mesothelial cells of the omentum, related to asbestos exposure. It is an extremely rare condition that presents both diagnostic and therapeutic challenges. We present a review of the related literature and report on a fatal case of primary omental mesothelioma in a 70 year old man, presenting with a painful abdominal mass. Radiological imaging was not diagnostic but useful in excluding other pathologies. Diagnosis relied on specific immunohistochemical analysis. The difficulty in diagnosis and management and the advanced stage of disease meant that prognosis was very poor. Our patient died within 3 weeks of diagnosis.
Harb
Ayad
A
Queen Mary's Hospital, Sidcup, Kent, UK. ayad5@hotmail.com
King
Elizabeth
E
Lloyd
Helen
H
Harb
Ziad
Z
Payne
John G
JG
D000368:Aged; D001194:Asbestos / Q000009:adverse effects; D001195:Asbestosis; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000209:etiology; D016273:Occupational Exposure; D009852:Omentum / Q000473:pathology*; D010534:Peritoneal Neoplasms / Q000175:diagnosis*
D001194:Asbestos