Wijnberge Marije, Daniels Lidewine, Cliteur Vincent, Winkelhagen Jasper
Department of Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Department of Surgery, West Fries Gasthuis, Hoorn, The Netherlands.
BMJ Case Rep. 2017 Mar 6;2017:bcr2016218573. doi: 10.1136/bcr-2016-218573.
A man aged 79 years with a history of malignant peritoneal mesothelioma presented 8 years after primary presentation with a suspected right-sided painful inguinal hernia and hydrocele, both present for 5 months. During surgery, however, the inguinal swelling appeared to be a tumour. Laboratory examination was non-alarming and ultrasonography not specific for mesothelioma. Pathological examination showed it to be a recurrence of the malignant mesothelioma, which was treated palliative with radiotherapy. This clinical picture is rare and a recurrence-free survival of 8 years is remarkable.
一名79岁男性，有恶性腹膜间皮瘤病史，初次就诊8年后出现疑似右侧腹股沟疼痛性疝和鞘膜积液，均已存在5个月。然而，手术中发现腹股沟肿胀似乎是肿瘤。实验室检查无异常，超声检查对间皮瘤不具有特异性。病理检查显示为恶性间皮瘤复发，采用放射治疗进行姑息治疗。这种临床表现罕见，8年无复发生存期显著。
