Published online Jul 6, 2022. doi: 10.12998/wjcc.v10.i19.6716
Peer-review started: January 24, 2022
First decision: March 23, 2022
Revised: March 28, 2022
Accepted: May 8, 2022
Article in press: May 8, 2022
Published online: July 6, 2022
Malignant peritoneal mesothelioma (MPM) originates from the mesothelial and subcutaneous cells of the abdominal cavity. Its diagnose is difficult due to its nonspecific and vague symptoms, and it should be differentiated from alcoholic cirrhosis and liver and pancreatic cancers. Misdiagnosis and missed diagnosis can easily occur when MPM presents with other diseases. To the best of our know
A 63-year-old man presented to our hospital with abdominal distension for 20days. He had a history of alcohol consumption for nearly 30 years and no history of special drug use or toxic exposure. After treatment for alcoholic cirrhosis in a community hospital, his symptoms did not improve significantly. The patient underwent exploratory laparotomy and surgical resection. Pathologic examination showed an epithelioid MPM. He was treated with chemotherapy and intraperitoneal hyperthermic perfusion after surgery. Currently, he is in a stable condition and tumor recurrence has not occurred.
Misdiagnosis and missed diagnosis of MPM can easily occur because of its insidious onset. Therefore, there is a need to understand. MPM in clinical practice, make the correct diagnosis, and provide timely and effective treatment.
Core Tip: Malignant peritoneal mesothelioma (MPM) is a rare disease with nonspecific and vague symptoms. MPM concurrent with alcoholic cirrhosis has not been reported previously. We report the case of a 63-year-old man who had abdominal distension and was initially diagnosed with alcoholic cirrhosis. His symptoms did not improve significantly after treatment for the cirrhosis. The patient then underwent exploratory laparotomy, and pathologic examination showed an epithelioid MPM. Misdiagnosis and missed diagnosis of MPM is commom because of its insidious onset. Clinicians should be aware of the disease and make a correct diagnosis so as to provide patients with timely and effective treatment. MPM concurrent with alcoholic cirrhosis is rare and requires further study.