Lewin M, Arrivé L, Wendum D, Monnier-Cholley L, Bouttier E, Tubiana J M
Service de Radiologie, Hôpital Saint-Antoine, Paris.
J Radiol. 1996 Sep;77(9):649-56.
Peritoneal mesothelioma is a rare, either benign or malignant tumor of the peritoneum. We retrospectively analyzed the imaging features of six malignant and three benign peritoneal mesothelioma. Asbestos exposure was proven in three of the six malignant cases and in none of the three benign cases. Ascites was found in seven patients (78%), peritoneal masses in eight patients (88%), small peritoneal nodules in six patients (66%), parietal peritoneal thickening in six patients (66%), thickened mesentery in five patients (55%) and pleural plaques as well as nodules in one patient. These imaging features support the diagnosis of peritoneal mesothelioma but do not allow differentiation between benign and malignant forms of peritoneal mesothelioma.
腹膜间皮瘤是一种罕见的腹膜肿瘤,可为良性或恶性。我们回顾性分析了6例恶性和3例良性腹膜间皮瘤的影像学特征。6例恶性病例中有3例证实有石棉接触史,3例良性病例中均无石棉接触史。7例患者(78%)发现腹水,8例患者(88%)发现腹膜肿块,6例患者(66%)发现小的腹膜结节,6例患者(66%)发现壁层腹膜增厚,5例患者(55%)发现肠系膜增厚,1例患者发现胸膜斑和结节。这些影像学特征支持腹膜间皮瘤的诊断,但无法区分良性和恶性腹膜间皮瘤。