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“Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma

We report a case of a 68-year-old man with medical history of pleural asbestosis and diagnosed with malignant peritoneal mesothelioma. This neoplasm is rare, has a poor prognosis, and is associated with asbestosis in many cases. It manifests clinically insidiously and in relation to the intra-abdomi...

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Autores principales: García Martínez, Alejandro, Pavón Guerrero, Inmaculada, Campos Gonzaga, Lidia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212920/
https://www.ncbi.nlm.nih.gov/pubmed/34159018
http://dx.doi.org/10.7759/cureus.15116
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author García Martínez, Alejandro
Pavón Guerrero, Inmaculada
Campos Gonzaga, Lidia
author_facet García Martínez, Alejandro
Pavón Guerrero, Inmaculada
Campos Gonzaga, Lidia
author_sort García Martínez, Alejandro
collection PubMed
description We report a case of a 68-year-old man with medical history of pleural asbestosis and diagnosed with malignant peritoneal mesothelioma. This neoplasm is rare, has a poor prognosis, and is associated with asbestosis in many cases. It manifests clinically insidiously and in relation to the intra-abdominal locoregional effect. Radiological findings are variable, although the finding of “omental cake” by CT scan is characteristic but not pathognomonic, as seen in our case. A biopsy is required for the diagnosis, which can be guided by radiology or surgery. Treatment options available are cytoreductive surgery with intraperitoneal hyperthermic chemotherapy or systemic chemotherapy. However, new therapeutic options are emerging, which are still under development and research.
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spelling pubmed-82129202021-06-21 “Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma García Martínez, Alejandro Pavón Guerrero, Inmaculada Campos Gonzaga, Lidia Cureus Internal Medicine We report a case of a 68-year-old man with medical history of pleural asbestosis and diagnosed with malignant peritoneal mesothelioma. This neoplasm is rare, has a poor prognosis, and is associated with asbestosis in many cases. It manifests clinically insidiously and in relation to the intra-abdominal locoregional effect. Radiological findings are variable, although the finding of “omental cake” by CT scan is characteristic but not pathognomonic, as seen in our case. A biopsy is required for the diagnosis, which can be guided by radiology or surgery. Treatment options available are cytoreductive surgery with intraperitoneal hyperthermic chemotherapy or systemic chemotherapy. However, new therapeutic options are emerging, which are still under development and research. Cureus 2021-05-19 /pmc/articles/PMC8212920/ /pubmed/34159018 http://dx.doi.org/10.7759/cureus.15116 Text en Copyright © 2021, García Martínez et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
García Martínez, Alejandro
Pavón Guerrero, Inmaculada
Campos Gonzaga, Lidia
“Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma
title “Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma
title_full “Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma
title_fullStr “Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma
title_full_unstemmed “Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma
title_short “Omental Cake” in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma
title_sort “omental cake” in a patient with asbestosis leading to the diagnosis of malignant peritoneal mesothelioma
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212920/
https://www.ncbi.nlm.nih.gov/pubmed/34159018
http://dx.doi.org/10.7759/cureus.15116
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