Peritoneal mesothelioma with which the disease easily confused?

Peritoneal mesothelioma should be tuberculous peritonitis intra-abdominal metastatic tumors of other primary tumors in the peritoneum and omentum differentiated from
1. Tuberculous peritonitis malignant peritoneal mesothelioma misdiagnosed as tubercular peritonitis and to the anti-tuberculosis treatment of patients frequently reported that due to anti-tuberculosis treatment after the invalid line laparotomy side of tuberculous peritonitis diagnosed in middle-aged general, mostly among the clinical ascites with abdominal pain and abdominal mass, abdominal distention fever outside the common clinical manifestations of PPD-positive erythrocyte sedimentation rate (erythrocyte sedimentation rateESR ESR) increased rapidly to support the diagnosis of tuberculous peritonitis with ascites in tuberculous peritonitis exudates for multiple single-core ascites cell-based training, such as PCR examination and smears for differential diagnosis of tuberculosis was found significant ascites adenosine deaminase (adenosine deaminaseADA) increased activity may be determined tuberculous peritonitis ascites lactate dehydrogenase (LDH) will definitely be helpful in differentiating ascites and serum LDH ratio is greater than the value of a prompt for malignant ascites clinically highly suspected cases of tuberculous peritonitis in close observation of anti-TB treatment on the downlink regular anti-TB treatment ineffective, or both should be fighting for the differential diagnosis of difficult early by laparoscopy or surgical exploration caseous granulomas were found on pathology is easy to identify with peritoneal mesothelioma
2. Peritoneal metastatic tumors from gastric cancer peritoneal metastases of ovarian cancer, pancreatic cancer often liver and colon cancer, etc. pseudomyxoma peritonei which is often due to rupture of ovarian mucinous cystadenoma peritoneal cause (also by the rupture of the appendix, or pancreas cyst cause) showed swelling of intra-abdominal mass in the ascites ascites was jelly mucus when the primary tumor when the clinical manifestations of occult peritoneal metastases and peritoneal mesothelioma, is difficult to identify ascites cytology can improve if the right way and the false positive rate find a few positive cells, such as peritoneal carcinomatosis with ascites can be diagnosed by means of Digestive Endoscopy and upper gastrointestinal contrast abdominal pelvic ultrasound and CT scan of blood AFP and other related carbohydrate antigen detection of cancer and even laparoscopy in order to carefully search for the primary tumor and sometimes even if the above-mentioned Clinical examination found no primary tumor can not be completely ruled out on the abdominal pelvic lesions and metastatic tumors may be pathological examination should pay attention to mesothelioma and metastatic adenocarcinoma and the source of epithelial ovarian tumors to distinguish the differential difficulties should be made by immunohistochemistry or electron microscopy examination
3. Other primary malignant tumors in the peritoneal peritoneal serous borderline tumors also known as atypical tubal endometriosis of primary peritoneal papillary tumors and low-grade peritoneal serous small papillomatosis is a rare primary in the peritoneal lesions often occur in women of any age may be involved in most patients under the age of 40 main symptoms are abdominal or pelvic pain symptoms of chronic pelvic inflammatory disease and even pathological phenomena of adhesion, or amenorrhea, can be made with peritoneal mesothelioma the differential diagnosis of this disease a better prognosis
Other primary tumors in the peritoneal adenocarcinoma fibrosarcoma liposarcoma is very rare and so hard to reconcile with the clinical distinction between peritoneal mesothelioma are mostly found in the autopsy