A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal Metastases
We report a case of synchronous primary colonic adenocarcinoma and malignant mesothelioma. A 61-year-old male presented with a six-month history of fatigue and weight loss. An abdominal computed tomography (CT) scan showed a 5.8 cm partially obstructing mass in the cecum with ascites and peritonea...
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Wiley
2014-01-01
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Series: | Case Reports in Pathology |
Online Access: | http://dx.doi.org/10.1155/2014/838506 |
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author | Wei Xie Linda K. Green Rishi A. Patel Syeling Lai |
author_facet | Wei Xie Linda K. Green Rishi A. Patel Syeling Lai |
author_sort | Wei Xie |
collection | DOAJ |
description | We report a case of synchronous primary colonic adenocarcinoma and malignant mesothelioma. A 61-year-old male presented with a six-month history of fatigue and weight loss. An abdominal computed tomography (CT) scan showed a 5.8 cm partially obstructing mass in the cecum with ascites and peritoneal thickening. A biopsy of the large mass showed an adenocarcinoma. Because the patient was clinically thought to be a T4 colon carcinoma with peritoneal metastatic lesions (M1), prior to initiating chemotherapy, a debulking right hemicolectomy was performed. Resection of the colon and ileum revealed a T3N0 colonic mucinous adenocarcinoma and concurrent diffuse malignant peritoneal mesothelioma. Presenting synchronous colonic and peritoneal mesothelial primary malignancies are exceedingly rare but must be considered to prevent incorrect clinical staging. |
format | Article |
id | doaj-art-5ede7a943e074072a31f39a58c6105c6 |
institution | Kabale University |
issn | 2090-6781 2090-679X |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Pathology |
spelling | doaj-art-5ede7a943e074072a31f39a58c6105c62025-02-03T07:24:25ZengWileyCase Reports in Pathology2090-67812090-679X2014-01-01201410.1155/2014/838506838506A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal MetastasesWei Xie0Linda K. Green1Rishi A. Patel2Syeling Lai3Department of Pathology and Immunology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USADepartment of Pathology and Immunology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USADepartment of Pathology and Immunology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USADepartment of Pathology and Immunology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USAWe report a case of synchronous primary colonic adenocarcinoma and malignant mesothelioma. A 61-year-old male presented with a six-month history of fatigue and weight loss. An abdominal computed tomography (CT) scan showed a 5.8 cm partially obstructing mass in the cecum with ascites and peritoneal thickening. A biopsy of the large mass showed an adenocarcinoma. Because the patient was clinically thought to be a T4 colon carcinoma with peritoneal metastatic lesions (M1), prior to initiating chemotherapy, a debulking right hemicolectomy was performed. Resection of the colon and ileum revealed a T3N0 colonic mucinous adenocarcinoma and concurrent diffuse malignant peritoneal mesothelioma. Presenting synchronous colonic and peritoneal mesothelial primary malignancies are exceedingly rare but must be considered to prevent incorrect clinical staging.http://dx.doi.org/10.1155/2014/838506 |
spellingShingle | Wei Xie Linda K. Green Rishi A. Patel Syeling Lai A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal Metastases Case Reports in Pathology |
title | A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal Metastases |
title_full | A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal Metastases |
title_fullStr | A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal Metastases |
title_full_unstemmed | A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal Metastases |
title_short | A Case of Unsuspected Peritoneal Mesothelioma Occurring with Colonic Adenocarcinoma Masquerading as Peritoneal Metastases |
title_sort | case of unsuspected peritoneal mesothelioma occurring with colonic adenocarcinoma masquerading as peritoneal metastases |
url | http://dx.doi.org/10.1155/2014/838506 |
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