Stefanini G F, Foschi F G, Marsigli L, Celi A, Addolorato G, Castelli E, D'Errico A, Mancini A M, Martoni A, Gasbarrini G
Istituto di Patologia Speciale Medica, Università di Bologna, Italy.
Am J Gastroenterol. 1994 Dec;89(12):2257-9.
Mesothelial lesions can present significant diagnostic problems. An accurate identification of the lesion is important in deciding what course of action to follow, as well as what the required treatment will be. We report the case of a man with untreatable ascites. Four years after the first symptom appeared, the patient suddenly began to lose weight. The CT scan showed a thickening of the peritoneal profile; a diffuse lesion of the mesothelium was then observed at laparotomy. Histological examination led to a diagnosis of malignant mesothelioma in a well-differentiated mesothelial lesion with diffuse involvement of the serosa of the small intestine and the lesser omentum.
间皮病变可能带来重大的诊断难题。准确识别病变对于决定后续采取何种行动以及所需的治疗方案至关重要。我们报告一例患有无法治疗的腹水的男性病例。在出现首个症状四年后，患者突然开始体重减轻。CT扫描显示腹膜轮廓增厚；剖腹手术时观察到间皮的弥漫性病变。组织学检查诊断为高分化间皮病变的恶性间皮瘤，小肠浆膜和小网膜均有弥漫性累及。
