Thin-Walled Cysts as a Pathognomonic CT Finding in Cystic Mesothelioma

Tumori - Tập 94 Số 1 - Trang 14-18 - 2008
Paul H. Sugarbaker1, Tristan D. Yan1, Luis Zappa1, Namik Haveric2, Erwin A. Brun3
1Washington Cancer Institute, Washington Hospital Center, Washington DC, USA
2Department of Radiology, and Washington Hospital Center, Washington, DC, USA
3Department of Pathology, Washington Hospital Center, Washington, DC, USA

Tóm tắt

AimCystic mesothelioma is a rare disease that results in abdominal distention and poorly defined abdominal pain. Diagnosis has always been made by tissue biopsy rather than by radiologic studies.Materials and methodsOur experience with 7 patients with cystic mesothelioma includes 4 patients who had not had prior surgery before the performance of a high resolution CT scan. A special review of the radiology of these cases was performed in order to identify any pathognomonic signs of this disease.ResultsIn all patients who did not have a distortion of the radiologic images (as a result of surgical interventions) prior to the performance of a high resolution CT scan at our institution, a pathognomonic thin-wall cystic structure located within the gelatinous appearing mass was observed. These thin-walled cysts were of variable size and preferentially located within the greater omentum, pelvis and beneath the right hemidiaphragm.ConclusionCystic mesothelioma can be diagnosed preoperatively by a high resolution abdominal and pelvic CT. The thin-walled cysts with great variation in size are located beneath the right hemidiaphragm, within the greater omentum and in the pelvis. No other disease with these radiologic findings has been identified.

Từ khóa


Tài liệu tham khảo

10.1007/s004230050246

10.1016/S1055-3207(03)00045-0

Esquivel J., 1998, (Editorial) Cancer Therapeutics, 1, 321

10.1245/s10434-006-9187-5

10.1148/radiographics.14.4.7938764

Pandolfo I., 1986, Rays, 11, 63

10.1046/j.1365-2559.1996.t01-1-297345.x

10.1177/030089160308900107

10.1002/1097-0142(19890915)64:6<1336::AID-CNCR2820640628>3.0.CO;2-X

10.1097/00000478-198810000-00001

van Ruth S., 2000, Eur J Surg Oncol, 10, 192

10.1002/jso.10081

10.5858/2006-130-1654-PSOHPI

Hutchinson R., 1992, Eur J Surg, 158, 451

10.1007/BF00187374

Churg A., 2006, Tumors of the Serosal Membranes., 10.55418/1881041972

Thông tin
Thông tin xuất bản

Tumori

Tập 94 Số 1

14-18

Thông tin tác giả