Malignant Mesothelioma Of The Peritoneum
Malignant mesothelioma of the peritoneum, also known as the primary Peritoneal Mesothelioma and epithelial origin in mesothelial tumors organizations peritoneal. This rare disease as pleural mesothelioma, slightly higher than the female male. Exhibition etiology and asbestos, the frequency of contact between often more than 30 years.
Often unique benign mesothelioma, located in the fallopian tubes, the top of the uterus of the peritoneum, other parts of rare. Often diffuse malignant mesothelioma, covering all or part of the peritoneum.
1．History questions about unexplained abdominal pain disorders gastrointestinal and bloating, abdominal pain may be in diversification, but the persistence of the pain is common characteristics. The high incidence of more than 90 % in a plue period ascites or less than abdominal pain, appear sudden ascites, but also in the early ascites appeared individually. Ascites volume and persistence. General situation in the longest period of time that very few changes, loss of appetite can be maintained, not wasting not obvious, without fever, sometimes spontaneous Hypoglycemia may occur. May be accompanied by chest pain, breathing difficulties, cough symptoms of pleural mesothelioma.
2 Physical examination found belly Bulging, or abdominal was frog, mobility positive Voiced; abdominal palpation may affect a size ranging from single or multiple mass, tenderness in General not obvious. As with pleural mesothelioma, pleural effusion are positive signs.
3 Ltrasound of laboratory tests and CT, can be viewed in thin tumor fine image and ascites. Ascites was exsudat can also be seen.scites hyaluronic acid as increased to 120ug/ml, useful to the diagnosis.Ascites find new biological diagnosis of mesothelioma, but also on cells of ascites intermediate skin ar. chromosomes cells, help in the diagnosis. Laparoscopic has entered the peritoneal visible surface littered with nodules and plaques and biopsy examination may confirm the diagnosis. It must be noted and tuberculosis peritonitis, peritoneal metastasis identification.
General, radiotherapy and chemotherapy are not satisfied with the results. For years, some reports with the processing of adriamycin, 50 % of patients survive longer period of time, but there are also considered reports as not valid. It was also advocate the use of immune therapy, requires more observation. After a general diagnosis to death two years.Next Page>>