Peritoneal mesothelioma
An overview of peritoneal mesothelioma is the primary peritoneal mesothelial cells in the tumor. Does not have clinical features, common symptoms and signs included: abdominal pain, ascites, abdominal distension and abdominal mass, and so on. Peritoneal mesothelioma all about 20% of mesothelioma cases, occurred in 2-92 year-old, with an average age of 54 years, of which about 63% of the cases in the 45-64 years of age, children are rarely sick.
Clinical 1. Abdominal pain, bloating, ascites, and abdominal mass; 2. Anorexia, nausea, vomiting, diarrhea, constipation; 3. Fatigue, fever, weight loss, anemia; 4. Hypoglycemia, diffuse abdominal ossification; 5 . Other parts of the merger, such as mesothelioma, peritoneal mesothelioma, the transfer of organs and other complications of corresponding performance. Based on a diagnosis. Abdominal pain, bloating, ascites, abdominal mass of patients, in particular, have a history of exposure to asbestos; 2. Imaging peritoneal cancer have a thin sheet and signs of ascites; 3. Ascites cytology examination; 4. Peritoneal biopsy, Laparoscopy and laparotomy and get organized for pathological examination can be confirmed.
1 treatment. Surgery; 2. Radiotherapy; 3. Chemotherapy; 4. Support for the symptomatic treatment. The principle of a drug. Combination (for example, cyclophosphamide and cisplatin + vincristine +), with intra-abdominal injection of chemotherapy drugs (such as cisplatin); 2. Intra-abdominal injection of 32P or colloidal gold, radiotherapy and chemotherapy combined ; 3. Surgical resection can not be the case, the use of radiation (60Co) and chemotherapy (cyclophosphamide, vincristine and dactinomycin, etc.). 1 examination. Check box restrictions “A” contribute to the confusion with the exception of the disease; 2. Check box limit “B” contribute to the diagnosis.
Evaluation 1. Cure: tumor, without complications, wound healing, and clinical symptoms disappeared; 2. A turn for the better: radiotherapy, chemotherapy after symptoms improve, or reduce tumor growth slowed down, loss of appetite improved, weight gain; 3. Unless these : Clinical signs and symptoms do not disappear. Expert tips peritoneal mesothelioma originated in the peritoneal mesothelium cell and organizations, to asbestos dust pathogenic material, some of the virus may also be caused by mesothelioma.
Peritoneal mesothelioma pathology can be divided into: adenomatoid tumor, cystic mesothelioma, and three kinds of malignant mesothelioma. Peritoneal mesothelioma clinical performance of the non-specific, the check-positive rate was low, specificity is not strong, clinical diagnosis is difficult. With laparoscopy, CT and ultrasound guided biopsy technology as well as to carry out pathology, immunohistochemistry and electron microscopy diagnosis level, a growing number of cases had been pre-operative or a clear diagnosis of pathology. Peritoneal mesothelioma should be the main tuberculous peritonitis, intra-abdominal cancer metastasis, the other primary peritoneal in omental compared to identify the tumor. To date, peritoneal mesothelioma is still a lack of effective treatment, the vast majority of scholars including advocating surgery, chemotherapy and radiotherapy after the comprehensive treatment measures.
