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Abdominal Mesothelioma
Siva P. Raman, MD; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Malignant mesothelioma, peritoneal mesothelioma
            • Definitions

              • Primary malignant neoplasm arising from peritoneum
              • "Benign cystic mesothelioma" is misnomer
                • More accurately referred to as "peritoneal inclusion cyst"
                • Has nothing in common with malignant mesothelioma other than having mesothelial cells in its lining

            IMAGING

            • General Features

              • Radiographic Findings

                • Fluoroscopic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Diop AD et al: CT imaging of peritoneal carcinomatosis and its mimics. Diagn Interv Imaging. ePub, 2014
                                                2. Le BB et al: Malignant Peritoneal Mesothelioma With Lower Extremity Metastasis: PET/CT Imaging. Clin Nucl Med. ePub, 2014
                                                3. Abikhzer G et al: Role of 18F-FDG PET/CT in the staging of pediatric peritoneal mesothelioma. Clin Nucl Med. 38(8):e331-2, 2013
                                                4. Baadh AS et al: Radiology-pathology conference: primary peritoneal mesothelioma. Clin Imaging. 37(6):1142-5, 2013
                                                5. de Pangher Manzini V et al: Malignant peritoneal mesothelioma: a multicenter study on 81 cases. Ann Oncol. Epub ahead of print, 2009
                                                6. Tanida S et al: Combination chemotherapy with cisplatin and gemcitabine in malignant peritoneal mesothelioma. Int J Clin Oncol. 14(3):266-9, 2009
                                                7. Wong WL et al: Best Cases from the AFIP: Multicystic Mesothelioma. Radiographics. 24(1): 247-250, 2004
                                                8. Hanbidge AE et al: US of the peritoneum. Radiographics. 23(3):663-84; discussion 684-5, 2003
                                                9. Sheth S et al: Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics. 23(2):457-73; quiz 535-6, 2003
                                                10. Sugarbaker PH et al: A review of peritoneal mesothelioma at the Washington Cancer Institute. Surg Oncol Clin N Am. 12(3):605-21, xi, 2003
                                                11. Mohamed F et al: Peritoneal mesothelioma. Curr Treat Options Oncol. 3(5):375-86, 2002
                                                12. Puvaneswary M et al: Peritoneal mesothelioma: CT and MRI findings. Australas Radiol. 46(1): 91-6, 2002
                                                13. DeVita V et al: Cancer: Principles and practice of Oncology. 6th ed. Baltimore: Lippincott Williams and Wilkins. 1937-69, 2001
                                                14. Gore R et al: Textbook of Gastrointestinal Radiology. 2nd ed. Philadelphia: W.B. Saunders. 1980-92, 2000
                                                15. Haliloglu M et al: Malignant peritoneal mesothelioma in two pediatric patients: MR imaging findings. Pediatr Radiol. 30(4):251-5, 2000
                                                16. Kim Y et al: Peritoneal lymphomatosis: CT findings. Abdom Imaging. 23(1):87-90, 1998
                                                17. Ozgen A et al: Giant benign cystic peritoneal mesothelioma: US, CT, and MRI findings. Abdom Imaging. 23(5): 502-4, 1998
                                                18. Jadvar H et al: Still the great mimicker: abdominal tuberculosis. AJR Am J Roentgenol. 168(6):1455-60, 1997
                                                19. Smith TR: Malignant peritoneal mesothelioma: marked variability of CT findings. Abdom Imaging. 19(1):27-9, 1994
                                                20. Stoupis C et al: Bubbles in the belly: imaging of cystic mesenteric or omental masses. Radiographics. 14(4):729-37, 1994
                                                21. Akhan O et al: Peritoneal mesothelioma: sonographic findings in nine cases. Abdom Imaging. 18(3):280-2, 1993
                                                22. Ros PR et al: Peritoneal mesothelioma. Radiologic appearances correlated with histology. Acta Radiol. 32(5):355-8, 1991
                                                23. Cozzi G et al: Double contrast barium enema combined with non-invasive imaging in peritoneal mesothelioma. Acta Radiol. 30(1): 21-4, 1989
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          TERMINOLOGY

                                                          • Synonyms

                                                            • Malignant mesothelioma, peritoneal mesothelioma
                                                          • Definitions

                                                            • Primary malignant neoplasm arising from peritoneum
                                                            • "Benign cystic mesothelioma" is misnomer
                                                              • More accurately referred to as "peritoneal inclusion cyst"
                                                              • Has nothing in common with malignant mesothelioma other than having mesothelial cells in its lining

                                                          IMAGING

                                                          • General Features

                                                            • Radiographic Findings

                                                              • Fluoroscopic Findings

                                                                • CT Findings

                                                                  • MR Findings

                                                                    • Ultrasonographic Findings

                                                                      • Nuclear Medicine Findings

                                                                        • Imaging Recommendations

                                                                          DIFFERENTIAL DIAGNOSIS

                                                                            PATHOLOGY

                                                                            • General Features

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Diop AD et al: CT imaging of peritoneal carcinomatosis and its mimics. Diagn Interv Imaging. ePub, 2014
                                                                                              2. Le BB et al: Malignant Peritoneal Mesothelioma With Lower Extremity Metastasis: PET/CT Imaging. Clin Nucl Med. ePub, 2014
                                                                                              3. Abikhzer G et al: Role of 18F-FDG PET/CT in the staging of pediatric peritoneal mesothelioma. Clin Nucl Med. 38(8):e331-2, 2013
                                                                                              4. Baadh AS et al: Radiology-pathology conference: primary peritoneal mesothelioma. Clin Imaging. 37(6):1142-5, 2013
                                                                                              5. de Pangher Manzini V et al: Malignant peritoneal mesothelioma: a multicenter study on 81 cases. Ann Oncol. Epub ahead of print, 2009
                                                                                              6. Tanida S et al: Combination chemotherapy with cisplatin and gemcitabine in malignant peritoneal mesothelioma. Int J Clin Oncol. 14(3):266-9, 2009
                                                                                              7. Wong WL et al: Best Cases from the AFIP: Multicystic Mesothelioma. Radiographics. 24(1): 247-250, 2004
                                                                                              8. Hanbidge AE et al: US of the peritoneum. Radiographics. 23(3):663-84; discussion 684-5, 2003
                                                                                              9. Sheth S et al: Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics. 23(2):457-73; quiz 535-6, 2003
                                                                                              10. Sugarbaker PH et al: A review of peritoneal mesothelioma at the Washington Cancer Institute. Surg Oncol Clin N Am. 12(3):605-21, xi, 2003
                                                                                              11. Mohamed F et al: Peritoneal mesothelioma. Curr Treat Options Oncol. 3(5):375-86, 2002
                                                                                              12. Puvaneswary M et al: Peritoneal mesothelioma: CT and MRI findings. Australas Radiol. 46(1): 91-6, 2002
                                                                                              13. DeVita V et al: Cancer: Principles and practice of Oncology. 6th ed. Baltimore: Lippincott Williams and Wilkins. 1937-69, 2001
                                                                                              14. Gore R et al: Textbook of Gastrointestinal Radiology. 2nd ed. Philadelphia: W.B. Saunders. 1980-92, 2000
                                                                                              15. Haliloglu M et al: Malignant peritoneal mesothelioma in two pediatric patients: MR imaging findings. Pediatr Radiol. 30(4):251-5, 2000
                                                                                              16. Kim Y et al: Peritoneal lymphomatosis: CT findings. Abdom Imaging. 23(1):87-90, 1998
                                                                                              17. Ozgen A et al: Giant benign cystic peritoneal mesothelioma: US, CT, and MRI findings. Abdom Imaging. 23(5): 502-4, 1998
                                                                                              18. Jadvar H et al: Still the great mimicker: abdominal tuberculosis. AJR Am J Roentgenol. 168(6):1455-60, 1997
                                                                                              19. Smith TR: Malignant peritoneal mesothelioma: marked variability of CT findings. Abdom Imaging. 19(1):27-9, 1994
                                                                                              20. Stoupis C et al: Bubbles in the belly: imaging of cystic mesenteric or omental masses. Radiographics. 14(4):729-37, 1994
                                                                                              21. Akhan O et al: Peritoneal mesothelioma: sonographic findings in nine cases. Abdom Imaging. 18(3):280-2, 1993
                                                                                              22. Ros PR et al: Peritoneal mesothelioma. Radiologic appearances correlated with histology. Acta Radiol. 32(5):355-8, 1991
                                                                                              23. Cozzi G et al: Double contrast barium enema combined with non-invasive imaging in peritoneal mesothelioma. Acta Radiol. 30(1): 21-4, 1989