A Case of Peritoneal Sarcomatoid Mesothelioma with Absence of Occupationl Exposure to Asbestos
10.7180/kmj.2019.34.2.146
- Author:
Seung Hoon YOO
1
;
Hee Man KIM
;
Jea Kun PARK
;
Mi Sung KIM
;
Sang Yeop YI
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. shyoo@yuhs.ac
- Publication Type:Case Report
- Keywords:
Mesothelioma;
Sarcoma
- MeSH:
Abdominal Pain;
Aged;
Asbestos;
Ascites;
Biopsy;
Carcinoma;
Diagnosis;
Humans;
Male;
Mesothelioma;
Omentum;
Pathology;
Peritoneum;
Sarcoma
- From:Kosin Medical Journal
2019;34(2):146-151
- CountryRepublic of Korea
- Language:English
-
Abstract:
Sarcomatoid mesothelioma is not very common, mesothelioma is directly attributable to occupational asbestos exposure, with 90% of cases showing a history of exposure. A 66-year-old male was admitted with an abdominal pain that persisted for 3 weeks. He had no abdominal mass. Computed tomography showed soft tissue thickening in perihepatic space and nodularities in omentum and peritoneum with ascites. There was no absolute diagnosis evidence in ascites analysis. Although the pathology of ascites was free for malignancy, the patient underwent omentum biopsy for definitive diagnosis. In laproscopic exploration, there was omental cake, peritoneal nodular seeding. It was suspected cancer carcinomatosis. Immunohistochemical findings suggested that it was sarcomatoid masothelioma. This is the rare case of a peritoneal sarcomatoid mesothelioma, without any exposure to asbestos.
