Multiple malignant epithelioid mesotheliomas of the liver and greater omentum: a case report and review of the literature

Springer Science and Business Media LLC - Tập 3 - Trang 1-5 - 2017
Koji Minami1, Hiroshi Okumura1, Kiyokazu Hiwatashi1, Sumika Matsukita2, Tetsuro Setoyama1, Kota Minamimagari1, Yusuke Tsuruta1, Ichiro Kanetsuki3, Yoshito Ogura4, Shigeho Maenohara1, Shoji Natsugoe4
1Department of Surgery, Kagoshima Kouseiren Hospital, Kagoshima, Japan
2Department of Pathology, Kagoshima Kouseiren Hospital, Kagoshima, Japan
3Department of Radiology, Kagoshima Kouseiren Hospital, Kagoshima, Japan
4Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medical Sciences, Kagoshima University, Kagoshima, Japan

Tóm tắt

Malignant mesothelioma commonly arises from the pleura, but can also arise from the peritoneum, pericardium, and tunica vaginalis testis. However, malignant mesothelioma of the liver is extremely rare and coexistence with malignant mesothelioma of the greater omentum has not been described in the literature. In this case report, we present a case of multiple malignant mesothelioma of the liver and greater omentum. A 36-year-old woman was admitted to our hospital for the evaluation of an elastic hard mass in the right upper abdomen. Abdominal contrast computed tomography showed a cystic mass measuring 13 × 14 × 11 cm in the right liver lobe with enhanced mural nodule. Abnormal accumulation was identified in the liver and lower abdominal area on 18F-fluorodeoxyglucose positron emission tomography. The patient underwent hepatectomy of the posterior segment and partial resection of the omentum. The final pathological diagnosis was low-grade multiple malignant epithelioid mesothelioma based on characteristic immunohistochemical findings. As of 6 months postoperatively, the patient has shown no disease recurrence. We present the first case of a 36-year-old woman with multiple malignant mesothelioma of the liver and greater omentum.

Tài liệu tham khảo

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