[Summary]
Peritoneal malignant mesothelioma, also known as primary peritoneal mesothelioma, and originated in peritoneal mesothelial organizations epithelial tumors. This rare disease than pleural mesothelioma, slightly higher than the male female. Etiology and asbestos exposure, the incidence and contacts for a long interval, and often in more than 30 years. Mesothelioma often benign single, located in the fallopian tubes, uterus top of the peritoneum, rare in other parts. Often diffuse malignant mesothelioma, covering all or part of peritoneal
[Diagnosis]
1. History questions
The exact cause of the abdominal pain, abdominal distension and gastrointestinal disorders, abdominal pain may be in for diversification, but the pain of the stubbornness of its common characteristics. The high incidence of ascites, in more than 90 per cent, in a longer or shorter period of abdominal pain, ascites suddenly appeared, but also in the early ascites appeared individually. The amount of ascites and stubborn. General situation in the longer term, little change, loss of appetite can be maintained, wasting not obvious, no fever, sometimes spontaneous hypoglycemia can occur. Can be associated with chest pain, difficulty breathing, coughing and other symptoms of pleural mesothelioma.
2. Medical examination found
Peng Long abdomen, or a frog belly, mobility voiced positive abdominal palpation can be touched on the size ranging from single or multiple masses, the general tenderness not obvious. As with pleural mesothelioma, pleural effusion can be found positive signs.
3. Laboratory examination
B-ultrasound and CT, can be found thin sheet of images and ascites tumor. Ascites for exudate, but also for the courage and uprightness. Hyaluronic acid such as ascites increased to 120 ug / ml, very helpful in the diagnosis. Ascites find new biological diagnosis of mesothelioma cells, but also the middle of the mesothelial cells of ascites chromosome analysis, help diagnosis. Laparoscopic seized visible peritoneal surface filled with plaques and nodules, and biopsy examination to confirm the diagnosis. It must be noted and tuberculous peritonitis, peritoneal metastasis of identification.
[Treatment]
General chemotherapy and radiotherapy are not satisfied with the results. Some reports in recent years with adriamycin treatment, 50% of cases of extended survival period, but there are also reports considered invalid. It was also advocate the use of immune therapy, needed further observation. General in the diagnosis of 1 ~ 2 years after death.
Peritoneal Mesothelioma - Summary, Diagnosis & Treatment
Lung Cancer - Diagnosis
Performing a chest x-ray is the first step if a patient reports symptoms that may be suggestive of lung cancer. This may reveal an obvious mass, widening of the mediastinum (suggestive of spread to lymph nodes there), atelectasis (collapse), consolidation (pneumonia), or pleural effusion. If there are no x-ray findings but the suspicion is high (such as a heavy smoker with blood-stained sputum), bronchoscopy and/or a CT scan may provide the necessary information. Bronchoscopy or CT-guided biopsy is often used to identify the tumor type.
CT scan showing a cancerous tumor in the left lungThe differential diagnosis for patients who present with abnormalities on chest x-ray includes lung cancer, as well as nonmalignant diseases. These include infectious causes such as tuberculosis or pneumonia, or inflammatory conditions such as sarcoidosis. These diseases can result in mediastinal lymphadenopathy or lung nodules, and sometimes mimic lung cancers.
Originally from Wikipedia.org
Cancer - Diagnosis
Most cancers are initially recognized either because signs or symptoms appear or through screening. Neither of these lead to a definitive diagnosis, which usually requires the opinion of a pathologist, a type of physician (medical doctor) who specializes in the diagnosis of cancer and other diseases.
Investigation
People with suspected cancer are investigated with medical tests. These commonly include blood tests, X-rays, CT scans and endoscopy.
Biopsy
A cancer may be suspected for a variety of reasons, but the definitive diagnosis of most malignancies must be confirmed by histological examination of the cancerous cells by a pathologist. Tissue can be obtained from a biopsy or surgery. Many biopsies (such as those of the skin, breast or liver) can be done in a doctor's office. Biopsies of other organs are performed under anesthesia and require surgery in an operating room.
The tissue diagnosis given by the pathologist indicates the type of cell that is proliferating, its histological grade and other features of the tumor. Together, this information is useful to evaluate the prognosis of this patient and to choose the best treatment. Cytogenetics and immunohistochemistry are other types of testing that the pathologist may perform on the tissue specimen. These tests may provide information about future behavior of the cancer (prognosis) and best treatment.
Originally from Wikipedia.org
