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Ct differentiation of diffuse malignant peritoneal mesothelioma and peritoneal carcinomatosis.

Cannon law firm. Sometimes a repeat biopsy is required and may need to be reviewed by a pathologist with expertise in mesothelioma. A biopsy is always required for confirmation. Primary peritoneal tumors are uncommon lesions that arise from the mesothelial or submesothelial layers of the peritoneum.

It shares epidemiological and pathological features with but is less common than its pleural counterpart which is described in detail in the general article on mesothelioma. Malignant peritoneal mesothelioma is the second most common form of mesothelioma and occurs in the tissue that lines the abdominal cavity and organs. It is two to five times less common than malignant pleural mesothelioma and is more weakly associated with prior asbestos exposure.

A ct scan may suggest the presence of cancer in the abdominal cavity but cannot confirm the diagnosis of mpm. Other abdominal subtypes also discussed separately include. Even when specific findings are not found the lack of a primary tumor and the absence of lymph nodes or distant metastases can be useful in the difference between peritoneal mesothelioma and other gastrointestinal or gynecological tumors.

Plain radiographic and ct findings alone are nonspecific but in the presence of a long history of asbestos exposure they can be highly suggestive of malignant mesothelioma. What is malignant peritoneal mesothelioma and what are its ct and mr imaging features. Computed tomography ct is the ideal imaging study for the diagnosis of peritoneal mesothelioma.

Liang yf1 zheng gq1 chen yf2 song h1 yin wj1 zhang l2. Given the presence of the mesothelium in different parts of the body mesothelioma can arise in various locations 17. Pleural mesothelioma 90 covered in this article.

1departments of gastroenterology cangzhou central hospital cangzhou hebei 061001 china. Mesothelioma also known as malignant mesothelioma is an aggressive malignant tumor of the mesothelium. Malignant peritoneal mesothelioma is a rare mesothelial neoplasm arising from the peritoneum.

When a patient with malignant peritoneal mesothelioma has no history of asbestos exposure differentiating a typical wet type of malignant peritoneal mesothelioma from peritoneal carcinomatosis serous surface pap illary carcinoma lymphomatosis and tuberculosis may be difficult on the basis of ct findings alone. Primary malignant mesothelioma multicystic mesothelioma primary peritoneal serous carcinoma leiomyomatosis peritonealis disseminata and desmoplastic small round cell tumor are the most prominent of these rare lesions. Most tumors arise from the pleura and so this article will focus on pleural mesothelioma.

Plain chest radiography is usually the first line radiologic examination and may demonstrate circumferential pleural thickening pleural effusions and lung nodules or. Malignant peritoneal mesothelioma is an uncommon primary tumor of the peritoneal lining.

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