A CASE OF MALIGNANT PERITONEAL MESOTHELIOMA DIAGNOSED DURING LEFT EXTERNAL INGUINAL HERNIA REPAIR
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- FUJII Masakazu
- Department of Surgery, Ehime Rosai Hospital
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- MORISHIGE Ichiro
- Department of Surgery, Ehime Rosai Hospital
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- OKAZAKI Yoshikazu
- Department of Surgery, Ehime Rosai Hospital
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- NOMURA Shinji
- First Department of Surgery, Yamaguchi University School of Medicine
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- TOMOSAWA Naobumi
- Department of Surgery, Ehime Rosai Hospital
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- HAMANO Kimikazu
- First Department of Surgery, Yamaguchi University School of Medicine
Bibliographic Information
- Other Title
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- 左外鼠径ヘルニアの手術によって診断された悪性腹膜中皮腫の1例
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Abstract
A 68-year-old man was admitted with a provisional diagnosis of left inguinal mass lesion. Abdominal computed tomography showed pleural hypertrophy with calcification and ascites. Gastrointestinal fiberscopic study and abdominal sonography showed no other abnormal findings. Physical examination revealed a tender left inguinal mass, which could not be reduced. We suspected left inguinal hernia with invagination of the greater omentum as diagnosis. The patient had worked with exposure to asbestos for 38 years, so we could not exclude carcinomatous peritonitis. However, preoperative examinations showed no evidence of a primary cancer of any organ and the gastroenterological tumor markers were negative. Thus, we performed a herniorrhaphy for the left inguinal hernia and investigated the nature of the ascites. There were many nodules on the hernia sac and in the peritoneum, and a good amount of serous ascites in the abdominal cavity. The cytology was Group V and the pathology was malignant peritoneal mesothelioma (biphasic form). The patient is currently receiving combination chemotherapy consisting of pemetrexed sodium hydrate and cis-diammine dichloro platinum. We experienced a case of malignant peritoneal mesothelioma diagnosed during herniorrhaphy for left external inguinal hernia.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 69 (7), 1809-1813, 2008
Japan Surgical Association
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Keywords
Details 詳細情報について
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- CRID
- 1390282679824462976
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- NII Article ID
- 10021945087
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed