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Accession number;03A0557520
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| Title;A case report of malignant peritoneal mesothelioma manifesting features similar to extragastric submucosal tumor |
| Author;
MATSUYAMA KAZUO
(Sakawachokohokukokuminkenkohokenbyoin Geka)
YOSHIDA SADAHIRO
(Sakawachokohokukokuminkenkohokenbyoin Geka)
MIURA MURATO
(Sakawachokohokukokuminkenkohokenbyoin Geka)
KIYOKU YASUSHI
(Kochiidai Daiichibyori)
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Journal Title;Shikoku Acta Medica
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Journal Code:G0586A
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ISSN:0037-3699
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VOL.59;NO.3;PAGE.176-181(2003)
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| Figure&Table&Reference;FIG.9, TBL.1, REF.11 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Malignant peritoneal mesothelioma is a rare tumor. Its early detection and preoperative diagnosis is poor. We recently encountered a case of this tumor manifesting features similar to extragastric submucosal tumor. We describe this case, with a review of the literature. The patient was a 70-year-old woman. She was referred to our hospital because an elevated lesion in the stomach detected at another clinic during treatment of gastric ulcers. A mass, the size of a child's head, was palpable, and extended from the left hypochondrial area to the subumbilical area. Upper gastroenteric fluoroscopy, gastric endoscopy, ultrasonography, CT and abdominal angiography allowed a diagnosis of an extragastric submucosal tumor which had developed from the greater curvature of the stomach. Laparotomy was then performed. Jelly-like aggregates of ascites and a number of peritoneal disseminations were visible. The tumor was therefore removed by wedge resection of the stomach. Mitomycin C (10 mg) was sprinkled into the peritoneal cavity. Histopathological examination of the removed tissue allowed a diagnosis of malignant peritoneal mesothelioma. It is known that malignant peritoneal mesothelioma may arise in various regions of the peritoneal cayity, however it is quite rare that this tumor is visible in the submucosal area of the stomach. This case therefore deserves to be reported. (author abst.) |
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