Jul 5, 2008

Peritoneal mesothelioma

Peritoneal mesothelioma is the primary peritoneal mesothelial cells in the tumor. Clinical performance is not characteristic, common signs and symptoms are: abdominal pain, ascites, abdominal distention and abdominal mass, and so on.

Overview peritoneal mesothelioma is the primary peritoneal mesothelial cells in the tumor. Clinical performance is not characteristic, common signs and symptoms are: abdominal pain, ascites, abdominal distention and abdominal mass, and so on. Peritoneal mesothelioma all mesothelioma cases accounted for about 20 per cent, occurred in 2-92 years old, the average age is 54 years, of which about 63 percent of the cases in the 45-64 years of age, children are rarely sick.

Clinical manifestations 1. Abdominal pain, abdominal distention, ascites, abdominal mass, 2. Anorexia, nausea, vomiting, diarrhea, constipation, 3. Fatigue, fever, weight loss, anemia, 4. Hypoglycemia, diffuse abdominal ossification; . Merging other parts of mesothelioma such as the peritoneal mesothelioma, the transfer of other organs and complications of corresponding performance. Based on a diagnosis. Abdominal pain, abdominal distention, ascites, abdominal mass of patients, in particular, have a history of exposure to asbestos, 2. Imaging examination of peritoneal cancer signs of a thin sheet and ascites, 3. Exfoliative cytology ascites, 4. Peritoneal biopsy, Laparoscopy and laparotomy and organizations from a pathological examination can be confirmed.

Treatment principles 1. Surgical treatment, 2. Radiation therapy, 3. Chemotherapy, 4. Symptomatic treatment support. The principle of a medication. Combination (such as cyclophosphamide and cisplatin + + VCR), with intraperitoneal injection of chemotherapy drugs (such as cisplatin), 2. Intraperitoneal injection of 32 P or colloidal gold, radiotherapy and chemotherapy drugs 3. Resection of the operation can not be the case, the use of radiotherapy (60 Co) and chemotherapy (cyclophosphamide, vincristine, Dactinomycin, etc.). Supporting a check. Check box limit "A" except to help confuse the disease, 2. Check box limit "B" will help confirmed.

Evaluation 1. Cure: tumor, without complications, wound healing, clinical symptoms disappeared, 2. Improved: radiotherapy and chemotherapy after symptoms improve, or reduce tumor growth rate slowed down, improved appetite, weight gain, 3. The clinical symptoms and signs do not disappear. Experts suggested that peritoneal mesothelioma originated in the epithelium and peritoneal mesothelial organizations, to asbestos dust pathogenic substances, some of the virus may also be caused mesothelioma reasons.

Peritoneal mesothelioma pathology can be divided into: adenomatoid tumors, cystic mesothelioma, and three kinds of malignant mesothelioma. Peritoneal mesothelioma clinical manifestations are not specific, the inspection positive rate is not high, specificity is not strong, clinical diagnosis very difficult. With laparoscopy, ultrasound and CT-guided biopsy technology and the development of pathology, immunohistochemistry and electron microscopy raising the level of diagnosis, more and more cases of the former during his lifetime or clear diagnosis. Peritoneal mesothelioma mainly with tuberculosis peritonitis, intra-abdominal cancer metastasis, the other primary peritoneal omentum in the identification of the tumor. So far, peritoneal mesothelioma is still a lack of effects of treatment, the overwhelming majority of scholars that include surgical resection, radiation and chemotherapy after a comprehensive treatment measures.

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