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Published on: December 21, 2019
Peritoneal mesothelioma: a review
Alessio Bridda1, Ilaria Padoan, Roberto Mencarelli
1Clinica Chirurgica I, Department of Surgical and Gastroenterological Sciences, University of Padua, School of Medicine, Via Giustiniani 2, Policlinico III Piano, 35128 Padova, Italy. alex@omniazone.com
Background:
Malignant peritoneal mesothelioma (MPM) is a rare aggressive tumor of the peritoneum, regarded as a universally fatal disease. It is poorly described and the knowledge of its natural history is very limited. Occupational and environmental asbestos exposure still remains a public health problem around the world. The incidence has increased in the past 2 decades. Only 20% to 33% of all mesotheliomas arise from the peritoneum itself; the pleura is the most common site of origin.
Insights
Malignant peritoneal mesothelioma (MPM) is a rare, aggressive cancer. Its natural history is poorly understood, despite ongoing asbestos exposure concerns and increasing incidence.
Area of Science:
- Oncology
- Public Health
- Pathology
Background:
- Malignant peritoneal mesothelioma (MPM) is a rare and aggressive malignancy originating in the peritoneum.
- MPM is considered universally fatal, with limited understanding of its natural history.
- Asbestos exposure remains a significant global public health issue, contributing to mesothelioma incidence.
Purpose of the Study:
- To elucidate the natural history and clinical characteristics of malignant peritoneal mesothelioma.
- To provide a comprehensive overview of MPM for improved understanding and management.
- To highlight the association between asbestos exposure and MPM development.
Main Methods:
- Literature review of existing studies on MPM.
- Analysis of epidemiological data related to mesothelioma incidence.
- Synthesis of current knowledge on MPM pathology and clinical presentation.
Main Results:
- MPM accounts for only 20-33% of all mesotheliomas, with pleural mesothelioma being more common.
- The incidence of MPM has shown an increase over the last two decades.
- Limited data exists on the specific natural history and prognostic factors for MPM.
Conclusions:
- Further research is crucial to better understand the natural history and improve outcomes for MPM.
- Continued vigilance regarding asbestos exposure is necessary due to its link with mesothelioma.
- Enhanced diagnostic and therapeutic strategies are needed for this rare and aggressive cancer.
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