ID 110611
Title Transcription
イガイガタ ネンマクカ シュヨウゾウ オ テイシタ アクセイ フクマク チュウヒシュ ノ 1レイ
Title Alternative
A case report of malignant peritoneal mesothelioma manifesting features similar to extragastric submucosal tumor
Author
Matsuyama, Kazuo Department of Surgery, Kohoku National Health Insurance Hospital
Yoshida, Sadahiro Department of Surgery, Kohoku National Health Insurance Hospital
Miura, Murato Department of Surgery, Kohoku National Health Insurance Hospital
Kiyoku, Yasushi 1st Department of Pathology, Kochi Medical College
Keywords
malignant peritoneal mesothelioma
extragastric submucosal tumor
Content Type
Journal Article
Description
Malignant peritoneal mesothelioma is a rare tumor. Its early detection and preoperativediagnosis is poor. We recently encountered a case of this tumor manifesting features similarto extragastric submucosal tumor. We describe this case, with a review of the literature.The patient was a 70-year-old woman. She was referred to our hospital because anelevated lesion in the stomach detected at another clinic during treatment of gastric ulcers.A mass, the size of a child’s head, was palpable, and extended from the left hypochondrialarea to the subumbilical area. Upper gastroenteric fluoroscopy, gastric endoscopy,ultrasonography, CT and abdominal angiography allowed a diagnosis of an extragastricsubmucosal tumor which had developed from the greater curvature of the stomach.Laparotomy was then performed. Jelly-like aggregates of ascites and a number of peritonealdisseminations were visible. The tumor was therefore removed by wedge resection ofthe stomach. Mitomycin C_ (10 mg) was sprinkled into the peritoneal cavity. Histopathologicalexamination of the removed tissue allowed a diagnosis of malignant peritoneal mesothelioma.It is known that malignant peritoneal mesothelioma may arise in various regions of theperitoneal cayity, however it is quite rare that this tumor is visible in the submucosal area ofthe stomach. This case therefore deserves to be reported.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
59
Issue
3
Start Page
176
End Page
181
Sort Key
176
Published Date
2003-06-13
FullText File
language
jpn
TextVersion
Publisher