Scholarlink

Introduction <p>Diffuse malignant peritoneal mesothelioma (DMPM) is a very rare and life-threateningmalignant tumor.</p> Case <p>We present a report of a rare case of a 70-year-old female patient with emaciation and poor appetite as manifestations. The characteristics of signs and clinical manifestations in this case were atypical. Abdominal CT scan revealed a large mass in the right retroperitoneal region beside the inferior vena cava. A neurogenic tumor was considered, and a ganglioneuroma was highly likely. There was no indication of multiple peritoneal implants/seedings in the peritoneum, omentum and liver. Subsequently, an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed. The samples were processed into cell blocks, followed by hematoxylin-eosin (H&amp;E) staining and immunohistochemical staining for observation. The results indicated a possible diagnosis of mesothelioma, while neurogenic tumors were ruled out.</p> Discussion <p>During the operation, Multiplenodular tumor lesions were observed between the hepatogastric ligament, on the surface of the liver, inthe omentum, and at the splenic hilum, indicating that enhanced CT has certain limitations. If PET-CThad been performed preoperatively, the diagnosis might have been more comprehensive. The diagnosisof DMPM was further verified by laparotomy biopsy. EUS-FNA is a good auxiliary diagnostic method.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A case of diffuse malignant peritoneal mesothelioma: case report and literature review

  • 期刊论文

  • 发表日期：

    2026年5月19日

查看全文
  • Qian Zhao,
  • Kangwei Xiong,
  • Qiaoyun Wang,
  • Lijiu Zhang

摘要

Introduction

Diffuse malignant peritoneal mesothelioma (DMPM) is a very rare and life-threateningmalignant tumor.

Case

We present a report of a rare case of a 70-year-old female patient with emaciation and poor appetite as manifestations. The characteristics of signs and clinical manifestations in this case were atypical. Abdominal CT scan revealed a large mass in the right retroperitoneal region beside the inferior vena cava. A neurogenic tumor was considered, and a ganglioneuroma was highly likely. There was no indication of multiple peritoneal implants/seedings in the peritoneum, omentum and liver. Subsequently, an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) was performed. The samples were processed into cell blocks, followed by hematoxylin-eosin (H&E) staining and immunohistochemical staining for observation. The results indicated a possible diagnosis of mesothelioma, while neurogenic tumors were ruled out.

Discussion

During the operation, Multiplenodular tumor lesions were observed between the hepatogastric ligament, on the surface of the liver, inthe omentum, and at the splenic hilum, indicating that enhanced CT has certain limitations. If PET-CThad been performed preoperatively, the diagnosis might have been more comprehensive. The diagnosisof DMPM was further verified by laparotomy biopsy. EUS-FNA is a good auxiliary diagnostic method.