title: Metastatic peritoneal mesothelioma in the setting of recurrent ascites: a case report.
abstract: Malignant peritoneal mesothelioma is uncommon but rapidly fatal with a median survival of less than 1 year. The diagnosis of this entity is often delayed because of the nonspecific presenting symptoms and nonspecific cytological features of the mesothelial cells in the peritoneal fluids. A 72-year-old man who had no known history of exposure to asbestos and had longstanding refractory ascites thought to be secondary to alcoholic cirrhosis was found to have widespread metastatic malignant mesothelioma involving the lung, liver, pancreas, peritoneal, and pelvic wall, skin and subcutaneous tissue.
authors.affiliation: Department of Pathology, Beth Israel Deaconess Medical Center, Harvard University, Boston, Massachusetts 02215-5400, USA. vsamedi@bidmc.harvard.edu
authors.forename: Von
authors.initials: V
authors.lastname: Samedi
authors.forename: Sherrie
authors.initials: S
authors.lastname: White
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Zimarowski
authors.forename: Anna
authors.initials: A
authors.lastname: Harris
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Saffitz
authors.forename: Helen H
authors.initials: HH
authors.lastname: Wang
mesh_terms: D000368:Aged; D001201:Ascites / Q000150:complications* / Q000473:pathology*; D001202:Ascitic Fluid / Q000473:pathology; D001344:Autopsy; D001706:Biopsy; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008654:Mesothelioma / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D009362:Neoplasm Metastasis; D010534:Peritoneal Neoplasms / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D010537:Peritoneum / Q000473:pathology; D012008:Recurrence; D012867:Skin / Q000473:pathology