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Updated: Jul 14, 2026

Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
Published on: December 21, 2019
[Peritoneal mesothelioma: an inusual clinical presentation in a patient without exposure to asbestos]
J Ponce Lorenzo1, A Giménez Ortiz, F Aparisi Aparisi
1Servicio de Oncología Médica, Hospital Universitario La Fe, Valencia. joseponcelorenzo@hotmail.com
Abstract:
Malignant mesothelioma is an insidious neoplasm arising from the mesotelial surfaces, of the pleural and peritoneal cavities, the tunica vaginalis, or the pericardium. The predominant cause is inhalation exposure to asbestos. We present a rare case of primary malignant mesothelioma of the peritoneum in a 64 year old man without history of inhalation exposure to asbestos. The initial symptoms were constitutional syndrome and right pleural effusion. Positron emission tomography combined with computed tomography (PET/TC) was useful for a supporting diagnosis and to determine the extension. The patient received treatment with systemic palliative chemotherapy, cisplatin-pemetrexed. After three cycles, partial response was observed, but the evolution was fatal due to secondary toxicity of chemotherapy.
Insights
This case report details a rare peritoneal malignant mesothelioma in a 64-year-old man. Despite palliative chemotherapy, the patient succumbed to treatment toxicity, highlighting challenges in managing this rare cancer.
Area of Science:
- Oncology
- Pathology
Background:
- Malignant mesothelioma is a rare cancer originating from mesothelial surfaces.
- Asbestos exposure is the primary known cause of malignant mesothelioma.
Observation:
- A 64-year-old man presented with constitutional syndrome and right pleural effusion.
- He had no history of asbestos inhalation exposure.
- Positron emission tomography combined with computed tomography (PET/TC) aided diagnosis and staging.
Findings:
- The patient was diagnosed with primary malignant mesothelioma of the peritoneum.
- Treatment with cisplatin-pemetrexed chemotherapy showed partial response after three cycles.
- The patient's outcome was fatal due to secondary chemotherapy toxicity.
Implications:
- This case underscores the possibility of malignant mesothelioma developing without asbestos exposure.
- It highlights the diagnostic utility of PET/TC in peritoneal mesothelioma.
- The case emphasizes the critical risks of chemotherapy toxicity in palliative cancer care.
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