Diagnosis and treatment of 41 patients with malignant peritoneal mesothelioma.
- Author:
Zhong-guo ZHANG
1
;
Xi-shan HAO
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Antineoplastic Agents; therapeutic use; Cisplatin; therapeutic use; Combined Modality Therapy; Diagnosis, Differential; Female; Follow-Up Studies; Humans; Laparoscopy; Male; Mesothelioma; diagnosis; drug therapy; surgery; Middle Aged; Peritoneal Neoplasms; diagnosis; drug therapy; surgery; Retrospective Studies; Survival Rate; Tomography, X-Ray Computed
- From: Chinese Journal of Oncology 2004;26(10):631-633
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the methods of diagnosis and treatment of malignant peritoneal mesothelioma.
METHODSThe clinical data of 41 patients with malignant peritoneal mesothelioma pathologically confirmed were retrospectively analyzed.
RESULTSOf these 41 patients, abdominal pain and diarrhea were found in 38 and 35. The histopathologic types were: epitheloid, fusiform and mixed in 21, 11 and 9 cases. CT was performed in 21 and laparoscopic exploration in 13. The overall surgical resection rate was 70.7%. After operation, local abdominal cavity chemotherapeutic instillation was given in 12, systemic chemotherapy in 23 and immunotherapy in 3. The two year survival rate was 36.6%.
CONCLUSIONFor malignant peritoneal mesothelioma, the final diagnosis depends on histological examination and the treatment should be surgical-core combined methods.