Open AccessMALIGNANT PERITONEAL MESOTHELIOMA -AN UNFORGOTTEN ABDOMINAL MALIGNANCY
Author(s) -
A. Mishra,
Ashish Luthra,
C. R. Behera,
Ranjita Panigrahi,
Ranjan Kumar Sahoo
Publication year - 2019
Publication title -
international journal of scientific research
Language(s) - English
DOI - 10.36106/0901270
Subject(s) - mesothelioma , medicine , peritoneum , peritoneal mesothelioma , asbestos , pathology , malignancy , abdominal cavity , peritoneal cavity , radiology , surgery , materials science , metallurgy
Malignant peritoneal mesothelioma is a rare lethal malignancy of the serosal membranes of the peritoneum. The pathogenesis and association isstrongly related with industrial pollutants asbestos, but less than pleural mesothelioma. Symptoms are nonspecific and related to the tumor spreadwithin the abdominal cavity. CT scan is the investigation of choice and mostly disease is discovered incidentally on routine imaging. Diagnosis isconfirmed on histopathology as well as immunohistochemical analysis of markers. The mainstay of treatment is cytoreductive surgery withHyperthermic intraperitoneal chemotherapy. Here we present a very unusual case of malignant peritoneal mesothelioma diagnosed on routineevaluation of a 62 year old male admitted in emergency for obstructed inguinal hernia.Introduction: Malignant peritoneal Mesothelioma MPM is a very rare malignancy of the abdominal cavity. Mesotheliomas usually originate fromthe serosal membrane of different body cavities. Pleura is most commonly affected by mesothelioma followed by peritoneum and also othercavities pericardium and tunica vaginalis testis.10 to 30% of all mesothelioma affects peritoneum. Malignant peritoneal mesothelioma is a highlylethal malignant tumor of peritoneum and its pathogenesis is strongly related with industrial pollutant asbestos exposure. Diagnosis is difficult inmost of the cases because of its nonspecific presentation and detected on routine abdominal imaging or Surgery