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    Malignant epithelial mesothelioma of the peritoneum: observations on a problem case.

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    Authors
    Eyden, Brian P
    Banik, S
    Harris, Martin
    Affiliation
    Department of Histopathology, Christie Hospital National Health Service Trust, Manchester, UK.
    Issue Date
    2010-04-08T11:55:11Z
    
    Metadata
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    Abstract
    A 71-year-old asbestos-exposed male with symptoms suggestive of asbestosis for the previous 8 years presented with abdominal distension and ascites. Clinically, a diagnosis of mesothelioma carcinoma was made. Light microscopy of an omental biopsy failed to advance the diagnosis: The tumor was a solid, papillary, and glandular neoplasm lacking mucin and hyaluronidase-sensitive Alcian blue staining material. Immunohistochemistry gave positive results for Ber-EP4, LeuM1, and CEA, markers, favoring carcinoma. Electron microscopy revealed processes in channels and lumina, which were long, slender, and uncoated with a length: diameter ratio of 19.7. A few possessed small rootlets. A glycocalyx and glycocalyceal bodies were not seen. Other features included tonofibrils, a basal lamina, and desmosomes. The patient died 3 months following the onset of abdominal symptoms. Autopsy findings included solid and papillary tumor throughout the peritoneum, but no intrinsic tumor of the gastrointestinal tract or elsewhere. Arriving at a final diagnosis was complicated by immunohistochemistry, which favored carcinoma, and ultrastructure, which suggested mesothelioma. Taking into account all lines of evidence, it was concluded that the tumor was probably a mesothelioma but one with some features developed to an extent more typical of carcinoma.
    Citation
    Malignant epithelial mesothelioma of the peritoneum: observations on a problem case., 20 (4):337-44 Ultrastruct Pathol
    Journal
    Ultrastructural Pathology
    URI
    http://hdl.handle.net/10541/95996
    DOI
    10.3109/01913129609016334
    PubMed ID
    8837340
    Type
    Article
    Language
    en
    ISSN
    0191-3123
    ae974a485f413a2113503eed53cd6c53
    10.3109/01913129609016334
    Scopus Count
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    All Christie Publications

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