What are the performance of peritoneal mesothelioma and how to diagnose?

Peritoneal mesothelioma can occur in 2 to 92 years of age reported in the literature abroad, and their average age was 54 years old diagnosed with about 63% of the cases are between the ages of 45 to 64 sick children, a rare tumor of early peritoneal mesothelial cells no obvious symptoms of only the tumor grow to a certain size and involving the gastrointestinal and other abdominal viscera before clinical symptoms appear mainly as abdominal pain, abdominal distension with ascites of gastrointestinal symptoms and body mass changes in
1. Peritoneal mesothelioma, abdominal pain, abdominal pain is the most common symptoms of persistent pain can also be as paroxysmal pain cramps or sudden pain and often pain in the upper abdomen and right upper quadrant abdominal Department also has abdominal pain caused by the following clinical misdiagnosed as ectopic pregnancy or pelvic tumors reported the occurrence of abdominal pain and violations of tumor and the parietal peritoneum and pelvic organs of the gastrointestinal tract obstruction caused by adhesions and a large number of organs to reverse ascites abdominal mass produce mass effect and other factors related to the nature and duration of abdominal pain in site can be changed
2. Bloating due to intra-abdominal mass and ascites secondary to dyspepsia patients with intestinal obstruction and other factors may have varying degrees of abdominal distention severe symptoms that can affect eating or even difficulty in breathing
3. Ascites about 90% of patients with peritoneal mesothelioma there is a considerable portion of patients with ascites and ascites for the rapid growth of ascites fluid or bloody yellow viscous liquid in this leakage and tumor cells with active secretion of hyaluronic acid function of the
4. Peritoneal mesothelioma, abdominal mass is a common clinical manifestations of some patients is due to abdominal mass and treatment of peritoneal mesothelioma abdominal mass may be a single hair can also be made for multi-texture of the surface was more rigid or hard nodules like in the mesenteric serosal surface of the greater omentum mass in the physical examination can be moved abdominal mass may have tenderness in the pelvic mass by digital rectal examination or a triple merger consultation found a large number of patients with ascites after ascites drainage can be more a clear understanding of the detailed medical examination of abdominal mass may be a preliminary understanding of abdominal mass in the abdominal organs in addition to the substantive provision of first consultation for clinical information
5. Other minority patients may also have nausea, vomiting, diarrhea, loss of appetite occurs or constipation, urinary tract irritation menstrual changes and weight loss fatigue fever anemia patients have low blood sugar for individual diffuse abdominal ossification of clinical manifestations such as when a patient associated with other parts of mesothelioma or peritoneal mesothelioma metastasis to other organs or complications can occur when the corresponding clinical manifestations of
Reported in the literature very few patients with pleural mesothelioma exist, or other parts of the peritoneal mesothelioma peritoneal mesothelioma mesothelioma and other parts of the place or for multi-center, or for the primary tumor and metastasis is still not very clear about the relationship between the
A large number of autopsy material that not only can directly Baptist peritoneal mesothelioma and abdominal pelvic organ distant metastasis of peritoneal mesothelioma can also be caused by direct invasion and gastrointestinal tract of patients in which direct invasion of tumor cells may be as deep as the submucosa or mucosa peritoneal mesothelioma can also invade the gallbladder to the abdominal parenchymal organs such as pancreas, prostate, and bladder cancer can also be transferred to the lymph nodes and liver heart lung kidney bone marrow and other tissues and organs of adrenal
As the gastrointestinal tract and gastrointestinal tumors extrusion adhesion and invasion of peritoneal mesothelioma and gastrointestinal wall can cause intestinal obstruction
As the onset of misprision of peritoneal mesothelioma does not have specific clinical manifestations related to supporting the positive rate is not high specificity is not strong so its very difficult for the early diagnosis of cases reported in the literature, or even more than by laparotomy surgery due to other diseases (such as hernia repair surgery), the biopsy was confirmed with the B-ultrasound and CT laparoscopy-guided biopsy technology, to carry out, as well as pathology immunohistochemistry and electron microscopy diagnosis of raising the level of a growing number of cases in his lifetime as well as clearly pathological preoperative Diagnosis
Clinically unexplained abdominal pain and distention of the ascites and abdominal mass of patients, especially when a patient with asbestos exposure history should be considered when the diagnosis of peritoneal mesothelioma, and repeated ascites cytology and related inspections, such as abdominal CT examination revealed a typical related to changes in other parts of the examination has failed to find evidence of a primary tumor should be highly suspected diagnosis of peritoneal mesothelioma by laparoscopic examination and pathological examination confirmed the need to consider exploratory laparotomy diagnosis and to seek surgical treatment at the same time
Because ascites cytology and biopsy specimens stained less ordinary optical microscope pathological diagnosis is sometimes difficult immunohistochemical staining electron microscopy help to diagnosis
In making the diagnosis of peritoneal mesothelioma at the same time deal with some understanding of their stage of disease early or late stage of disease prognosis in the selection of treatment decisions of great significance in 1976 and other proposed changes Butchart phased program will be divided into four mesothelioma Phase Ⅰ: tumor confined to ipsilateral pleuropulmonary, pericardial or peritoneal; Ⅱ period: mediastinal tumors invading the chest wall and (or) the chest or abdominal lymph nodes the corresponding structure; Ⅲ period: outer membrane penetration diaphragm abdominal lymph node involvement; Ⅳ period: Yuan Department of hematogenous metastasis, some scholars have differences of opinion still exist in the program and therefore need to be further improved