title: Unusual presentation of a late-onset recurrence of malignant peritoneal mesothelioma.
abstract: A man aged 79 years with a history of malignant peritoneal mesothelioma presented 8 years after primary presentation with a suspected right-sided painful inguinal hernia and hydrocele, both present for 5 months. During surgery, however, the inguinal swelling appeared to be a tumour. Laboratory examination was non-alarming and ultrasonography not specific for mesothelioma. Pathological examination showed it to be a recurrence of the malignant mesothelioma, which was treated palliative with radiotherapy. This clinical picture is rare and a recurrence-free survival of 8 years is remarkable.
authors.affiliation: Department of Medicine, Academic Medical Center, Amsterdam, The Netherlands.
authors.forename: Marije
authors.initials: M
authors.lastname: Wijnberge
authors.affiliation: Department of Surgery, West Fries Gasthuis, Hoorn, The Netherlands.
authors.forename: Lidewine
authors.initials: L
authors.lastname: Daniels
authors.affiliation: Department of Pathology, West Fries Gasthuis, Hoorn, The Netherlands.
authors.forename: Vincent
authors.initials: V
authors.lastname: Cliteur
authors.affiliation: Department of Surgery, West Fries Gasthuis, Hoorn, The Netherlands.
authors.forename: Jasper
authors.initials: J
authors.lastname: Winkelhagen
mesh_terms: D017668:Age of Onset; D000368:Aged; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000532:radiotherapy; D008297:Male; D008654:Mesothelioma / Q000000981:diagnostic imaging* / Q000532:radiotherapy; D000086002:Mesothelioma, Malignant; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging* / Q000532:radiotherapy; D010534:Peritoneal Neoplasms / Q000000981:diagnostic imaging* / Q000532:radiotherapy