McCallum R W, Maceri D R, Jensen D, Berci G
Dig Dis Sci. 1979 Feb;24(2):170-4. doi: 10.1007/BF01324748.
This is the second report of a malignant peritoneal mesothelioma diagnosed by laparoscopy and guided needle biopsy and the first with photographic documentation of the lesion. The case illustrates the following points: (1) diagnosis of peritoneal mesothelioma should be considered in the evaluation of exudative ascites; (2) the only definitive diagnostic procedure is to obtain tissue for histology; and (3) laparoscopy with biopsies under direct vision is an accurate and safe technique which is underutilized and should be considered as the diagnostic procedure of choice when peritoneal disease is suspected.
这是第二例通过腹腔镜检查和引导针活检诊断出的恶性腹膜间皮瘤报告，也是首例有病变照片记录的病例。该病例说明了以下几点：（1）在评估渗出性腹水时应考虑腹膜间皮瘤的诊断；（2）唯一确定的诊断方法是获取组织进行组织学检查；（3）直视下活检的腹腔镜检查是一种准确且安全的技术，目前未得到充分利用，当怀疑有腹膜疾病时应将其视为首选诊断方法。
