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November 1990

Primary Malignant Peritoneal MesotheliomaA Report of Seven Cases and a Review of the Literature

Author Affiliations

From the Department of Surgery, Temple University, Philadelphia, Pa (Dr Asensio), and the Departments of Pathology (Dr Goldblatt) and Surgery (Dr Thomford), Medical College of Ohio, Toledo.

Arch Surg. 1990;125(11):1477-1481. doi:10.1001/archsurg.1990.01410230071012

• Mesothelioma of the peritoneum is a rare malignant neoplasm easily mistaken by both surgeon and pathologist for one of the more common neoplasms of the abdomen. Review of our records from metropolitan-area hospitals for the past 15 years identified seven patients with primary peritoneal mesotheliomas. Their diagnosis, management, and survival is analyzed. We report a case of an extended survivor (7 years) and one of a long-term survivor (15 years), as well as what we believe to be the only case in the literature presenting with a coexistent malignant neoplasm. Prevention of this commonly fatal neoplasm is linked to avoiding occupational exposure to asbestos; long-term survival for a few patients may be achieved with correct identification of the neoplasm and aggressive management. This report includes a review of the literature.

(Arch Surg. 1990;125:1477-1481)