title: Splenic localization of the peritoneal mesothelioma: case report and literature revue.
abstract: Peritoneal mesothelioma is a rare form of malignant mesothelioma, making up <30% of diagnosed mesothelioma cases. Because of a lack of specific symptoms (abdominal pain, abdominal swelling), normally it is diagnosed in advanced stages, sometimes in a surgical emergency (intestinal obstruction, severe ascites) and occasionally during image procedures or laparoscopy which can show a mass developing from peritoneal mesothelium surfaces, or an accumulation of small irregularities that may be tumors or plaques. The reported case refers to a particular localization of a peritoneal mesothelioma, the spleen, discovered only after a splenectomy, due to the clinical and radiological suspect of a rupture.
authors.affiliation: U.O. di Chirurgia Generale G. Marinaccio, Policlinico-Bari, Università degli Studi di Bari, Bari, Italy. dabbicco@chirurgiamarinaccio.uniba.it
authors.forename: Dario
authors.initials: D
authors.lastname: D'Abbicco
authors.forename: Angelica
authors.initials: A
authors.lastname: Conversano
authors.forename: Barbara Rita
authors.initials: BR
authors.lastname: Epifania
authors.forename: Rocco
authors.initials: R
authors.lastname: Indellicato
authors.forename: Antonio
authors.initials: A
authors.lastname: Margari
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002945:Cisplatin / Q000008:administration & dosage; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008654:Mesothelioma / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D060787:Neoplasm Grading; D009364:Neoplasm Recurrence, Local; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D011859:Radiography; D013156:Splenectomy / Q000379:methods; D013160:Splenic Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000556:secondary / Q000601:surgery*; D013997:Time Factors; D017211:Treatment Failure; D000093542:Gemcitabine
chemical_list: D003841:Deoxycytidine; D002945:Cisplatin; D000093542:Gemcitabine