Abdominal mass as a manifestation of mesothelioma

Martín-Jiménez, Antonio J; Aragón-Domínguez, Verónica; Trouillhet-Manso, Isabel; García-Gil, Daniel

doi:10.1136/postgradmedj-2018-135787

Cited by 2 publications

(1 citation statement)

References 4 publications

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“…Due to the rarity of the tumor, diagnostic pitfalls can occur in the diagnostic process, which usually involves as firstline imaging a computed tomography (CT). Therefore, especially when the presenting symptoms are in consistency with intra-abdominal mass, the radiological differential can include tumors from the gastrointestinal tract or intra-abdominal collections [6,7]. As a result, frequently the emergency surgical team will come across unexpected intra-operative findings, which will require the transformation of the operative strategy from a standard procedure (for instance radical appendicectomy or segmental colectomy) to an extensive procedure aiming to completely remove all macroscopically visible tumor.…”

Section: Introductionmentioning

confidence: 99%

Benign Multicystic Peritoneal Mesothelioma Presenting as Appendiceal Abscess: A Diagnostic and Therapeutic Challenge

et al. 2020

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Primary peritoneal tumors are rarely encountered and their management is usually challenging for the clinicians. Especially when the patients with advanced peritoneal malignancy present as surgical emergencies, usually with symptoms of obstruction, perforation or gross space-occupying lesions, the on-call surgical team has to weigh the pros and cons of urgent versus delayed treatment and plans a safe and simultaneously oncologically beneficial therapeutic approach. Herein, we present a case of a Caucasian man who was referred as suspected complicated appendicitis by his primary care physician, with the final diagnosis being benign multicystic mesothelioma. We describe the challenges of the clinical decision making for the emergency general surgeon and relevant diagnostic and therapeutic pitfalls, which can be potentially minimized by early liaison with tertiary units specializing in the treatment of disseminated peritoneal malignancy.

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Section: Introductionmentioning

confidence: 99%

Benign Multicystic Peritoneal Mesothelioma Presenting as Appendiceal Abscess: A Diagnostic and Therapeutic Challenge

et al. 2020

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Focal Peritoneal Mesothelioma Demonstrated on FDG PET/CT

et al. 2019

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A 48-year-old woman was experiencing abdominal pain and melena for 3 months. Because of these symptoms combined with increased level of tumor marker CA125, possible abdominal malignancy was considered, and an FDG PET/CT was performed to assess occult tumor. The images revealed multiple hypermetabolic lesions along the peritoneal surface. Pathological examination after biopsy demonstrated low-grade epithelioid peritoneal mesothelioma.

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Abdominal mass as a manifestation of mesothelioma

Cited by 2 publications

References 4 publications

Benign Multicystic Peritoneal Mesothelioma Presenting as Appendiceal Abscess: A Diagnostic and Therapeutic Challenge

Benign Multicystic Peritoneal Mesothelioma Presenting as Appendiceal Abscess: A Diagnostic and Therapeutic Challenge

Focal Peritoneal Mesothelioma Demonstrated on FDG PET/CT

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