Diagnosis of peritoneal mesothelioma: computed tomography, sonography, and fine-needle aspiration biopsy

Reuter, Karen L.; Raptopoulos, V.; Reale, Frank R.; Krolikowski, F J; D'Orsi, C. J.; Graham, Suzanne; Em, Smith

doi:10.2214/ajr.140.6.1189

Cited by 69 publications

(36 citation statements)

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“…When abdominal distension or a palpable mass are present, a sonographic in vestigation or CT scan will often be made. In comparing sonography with CT scan, the lat ter has proved to give more information con cerning the extent of the disease [17]. CT scan therefore can also be used to evaluate the effects of treatment [ 18], The findings on CT scan are usually soft-tissue masses with invariable involvement of the omentum, small intraperitoneal nodules, thickened peritoneum and ascites.…”

Section: Discussionmentioning

confidence: 99%

Malignant Peritoneal Mesothelioma: A Series of 19 Cases

Gelder

Hoogsteden²,

Versnel³

et al. 1989

Digestion

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The clinical data, diagnostic procedures and survival are reported in 19 cases diagnosed as malignant peritoneal mesothelioma. All patients were men and 74% had an occupational exposure to asbestos, whereas in 26% no information about asbestos exposure was available. The median interval between asbestos exposure and the diagnosis appeared to be 44.7 years (range 18–49 years). The most common presenting symptoms were abdominal pain, weight loss and dysphagia. Most patients presented with a large amount of ascites. In the majority of patients no therapy except pain relief was given and the median survival from the time of diagnosis was 6 months (range: 0–29 months). Some patients received surgery or chemotherapy, which however did not prolong survival. Only in 2 patients survival exceeded 1 year, although these patients did not receive therapy. The autopsy findings of some patients showed that there were positive abdominal lymph nodes in 2 of them, while in no case positive thoracic lymph nodes were found. The relative short survival period from the time of the first diagnosis in contrast to malignant pleural mesotheliomas is probably the reason for the absence of distant metastases. In this series only in a minority of patients cytology of the ascites was positive and often a laparotomy had to be done. Since cytologic specimens are often negative, we suggest that in patients suspected of a malignant peritoneal mesothelioma, laparoscopy with directed biopsies is the diagnostic procedure of first choice.

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Section: Discussionmentioning

confidence: 99%

Malignant Peritoneal Mesothelioma: A Series of 19 Cases

Gelder

Hoogsteden²,

Versnel³

et al. 1989

Digestion

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“…A minor component of spindle cells is common (Reuter et al, 1983). The cytoplasm is abundant with relatively well defined cell borders.…”

Section: Predominantly Epithelioid Malignant Mesotheliomamentioning

confidence: 99%

“…They are round to oval, and can vary from uniform to pleomorphic (Reuter et al, 1983). Binucleation or multinucleation is common (Cowell et al, 1991).…”

Section: Predominantly Epithelioid Malignant Mesotheliomamentioning

confidence: 99%

Mesothelioma in Domestic Animals: Cytological and Anatomopathological Aspects

Merlo¹,

Rosciani²

2012

Mesotheliomas - Synonyms and Definition, Epidemiology, Etiology, Pathogenesis, Cyto-Histopathological Features, Clinic, Diagnos

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“…Abdominal sonographic examination is a useful method to detect peritoneal mesothelioma and its metastatic spread. The amount of associated ascites is disproportionately small relative to the degree of tumor dissemination; while in metastatic disease the ascites is usually quite large [8]. In our cases, the amount of ascites was minimal in seven and moderate in the remaining cases.…”

Section: Discussionmentioning

confidence: 42%

Peritoneal mesothelioma: Sonographic findings in nine cases

et al. 1993

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Ultrasonographic findings in nine cases of peritoneal mesothelioma are presented. The most common findings were sheet-like or nodular peritoneal thickening, soft tissue masses, fixation of the intestinal loops, mesenteric thickening, and minimal ascites which was disproportional to the degree of tumor dissemination. The authors found that abdominal sonography, using 3.75-7.5 MHz transducers, is a useful imaging method for diagnosis of peritoneal mesothelioma in high-risk groups.

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Diagnosis of peritoneal mesothelioma: computed tomography, sonography, and fine-needle aspiration biopsy

Cited by 69 publications

References 0 publications

Malignant Peritoneal Mesothelioma: A Series of 19 Cases

Malignant Peritoneal Mesothelioma: A Series of 19 Cases

Mesothelioma in Domestic Animals: Cytological and Anatomopathological Aspects

Peritoneal mesothelioma: Sonographic findings in nine cases

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