Rupert K, Třeška V
Rozhl Chir. 2015 Apr;94(4):166-9.
Malignant mesothelioma is a rare tumour with an incidence of 0.53 cases per million inhabitants. Only about 20% of cases occur in the peritoneum. The authors use the case report of a male patient with malignant mesothelioma occurring in the peritoneal cavity to demonstrate the difficulty of preoperative diagnosis: preoperative examinations made the authors consider a primary liver tumour and only definitive histological examination revealed the diagnosis. The discussion deals with the epidemiology, diagnosis and treatment of this rare disease and underlines the unique role of surgical therapy in its management.
恶性间皮瘤是一种罕见肿瘤,发病率为每百万居民0.53例。仅约20%的病例发生于腹膜。作者通过一名发生于腹膜腔的恶性间皮瘤男性患者的病例报告,展示了术前诊断的困难:术前检查使作者考虑为原发性肝肿瘤,只有最终的组织学检查才明确了诊断。讨论涉及这种罕见疾病的流行病学、诊断和治疗,并强调了手术治疗在其管理中的独特作用。