Synchronous Pleural and Peritoneal Mesothelioma: a Case Report and Narrative Review

被引:0
|
作者
Vilchez, Miguel Enrique Alberto [1 ]
Pachmayr, Eva [1 ]
Arnold, Alexander [2 ]
Guel-Klein, Safak [1 ]
Brandl, Andreas [1 ]
Rau, Beate [1 ]
机构
[1] Charite Univ Med Berlin, Dept Surg, Campus Virchow Klinikum & Charite Campus Mitte, D-13353 Berlin, Germany
[2] Charite Univ Med Berlin, Inst Pathol, Berlin, Germany
关键词
Pleural Mesothelioma; Peritoneal Mesothelioma; Cytoreductive Surgery; Hyperthermic Chemotherapy; HIPEC; HITOC; STAGING PROJECT PROPOSALS; FORTHCOMING 8TH EDITION; MALIGNANT MESOTHELIOMA; CLINICAL PRESENTATION; TNM CLASSIFICATION; IASLC MESOTHELIOMA; PROGNOSTIC-FACTORS; CHEMOTHERAPY; DESCRIPTORS; MANAGEMENT;
D O I
10.1007/s13193-022-01637-0
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Malignant mesotheliomas most often affect the pleura and tend to spread locally within the originating cavity. Mesotheliomas are already rare diseases, and cases with synchronous pleural and peritoneal involvement are scarce in the literature. Mesothelioma in children is a rare disease representing only 0.9% of all mesotheliomas. They exhibit similar distribution and characteristics as mesotheliomas in adults and generally, a poor prognosis. Due to the rarity, there is no standardized treatment recommendation for children with mesothelioma. Though the malignant mesothelioma tends to spread locally within the originating cavity, pleuM have been reported to metastasize into the peritoneal cavity and vice versa. As there are only few studies concerning the metastatic spread of mesothelioma, it is difficult to define a precise incidence and risk factors for patients to develop metastases of the other mesothelium. There is no standardized therapeutic recommendation for patients with synchronous pleuM and perM. Our patient proved to profit from a radical two-stage surgical approach in combination with locoregional chemotherapy; she showed no sign of tumor recurrences 9 years after tumor resection. In conclusion, clinical studies are needed to confirm the benefit of this treatment and to determine its limitations and selection criteria.
引用
收藏
页码:97 / 105
页数:9
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