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Updates Surg ; 64(2): 157-60, 2012 Jun.
Article in English | MEDLINE | ID: mdl-21660615

ABSTRACT

Peritoneal mesothelioma is a rare form of malignant mesothelioma, making up <30% of diagnosed mesothelioma cases. Because of a lack of specific symptoms (abdominal pain, abdominal swelling), normally it is diagnosed in advanced stages, sometimes in a surgical emergency (intestinal obstruction, severe ascites) and occasionally during image procedures or laparoscopy which can show a mass developing from peritoneal mesothelium surfaces, or an accumulation of small irregularities that may be tumors or plaques. The reported case refers to a particular localization of a peritoneal mesothelioma, the spleen, discovered only after a splenectomy, due to the clinical and radiological suspect of a rupture.


Subject(s)
Laparoscopy , Mesothelioma/surgery , Neoplasm Recurrence, Local , Peritoneal Neoplasms/surgery , Splenectomy , Splenic Neoplasms/surgery , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Cisplatin/administration & dosage , Deoxycytidine/administration & dosage , Deoxycytidine/analogs & derivatives , Humans , Male , Mesothelioma/diagnostic imaging , Mesothelioma/drug therapy , Mesothelioma/secondary , Middle Aged , Neoplasm Grading , Peritoneal Neoplasms/diagnostic imaging , Peritoneal Neoplasms/drug therapy , Peritoneal Neoplasms/pathology , Radiography , Splenectomy/methods , Splenic Neoplasms/diagnostic imaging , Splenic Neoplasms/drug therapy , Splenic Neoplasms/secondary , Time Factors , Treatment Failure , Gemcitabine
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