Peritoneal mesothelioma – a case report
| Autor: | Brian McAleer, Mohana Maddula, Conor Pollock |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Pulmonary and Respiratory Medicine
Mesothelioma medicine.medical_specialty education.field_of_study business.industry Pleural effusion Population Asbestos respiratory system Debulking medicine.disease_cause medicine.disease Abdominal mass respiratory tract diseases Peritoneal Peritoneal mesothelioma Medicine Radiology medicine.symptom business education Rare disease |
| Zdroj: | Respiratory Medicine CME. (2):80-83 |
| ISSN: | 1755-0017 |
| DOI: | 10.1016/j.rmedc.2008.10.012 |
| Popis: | Summary Background Peritoneal mesothelioma is a very rare diagnosis with an incidence of 1 case per 4–5 million of the population. It accounts for 20–30% of all mesothelioma type cancers. There is great interest in this disease entity amongst the medical community and indeed the general population due to the well-substantiated link between asbestos related exposure and mesothelioma. Case presentation In this article we report a case of a 77 year old man who presented with a one week history of breathlessness and a right pleural effusion. An incidental right upper quadrant abdominal mass was noted leading to ultrasound and subsequent CT scans. A large subhepatic mass was identified, in addition to pleural calcification and thickening. Biopsy and histological examination of the abdominal mass suggested a spindle cell tumour, most likely a mesothelioma. Thoracocentesis and cytology of the pleural fluid confirmed the diagnosis of a malignant mesothelioma. Our patient is a retired dairy farmer. A detailed occupational history revealed likely asbestos exposure when he worked as a plumber, approximately 50 years ago. Discussion Patients with peritoneal mesothelioma often present late, and as a result treatment is often palliative. Interventions include cytoreductive (debulking) surgery and intraperitoneal chemotherapy or radiotherapy. Peritoneal mesothelioma is a very rare disease entity, yet a diagnosis to be considered in a patient with an abdominal mass, previous asbestos exposure, and pleural calcification. |
| Databáze: | OpenAIRE |
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