Related Experiment Video
Updated: May 28, 2026

Implantation and Monitoring by PET/CT of an Orthotopic Model of Human Pleural Mesothelioma in Athymic Mice
Published on: December 21, 2019
Differences among peritoneal and pleural mesothelioma: data from the Lombardy Region Mesothelioma Register (Italy)
Carolina Mensi1, M Bonzini, Maria Macchione
1Clinica del Lavoro "Luigi Devoto", Department of Preventive Medicine, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy. Carolina.Mensi@unimi.it
Background:
The relationship between asbestos exposure and peritoneal mesothelioma (PEM) is under investigation. Some authors suggest that the association could be weaker than that observed for pleural mesothelioma (PLM).
Objective:
To compare individual, clinical and exposure characteristics of peritoneal and pleural mesothelioma cases that occurred in the Lombardy Region (Italy).
Methods:
Cases were drawn from the regional mesothelioma registry (base population > 9 million). We selected all PEM cases diagnosed between 2000 and 2007 (N = 110) and all PLM cases that occurred between 2000 and 2001 (N = 515). Asbestos exposure data (occupational, environmental/familial, or both) were collected by a standardized and validated questionnaire administered to each case or case's relative. Based on available chest CT scans, we also investigated the concomitant presence of asbestosis and/or pleural plaques as markers of asbestos exposure.
Results:
PEM and PLM cases had similar proportions of occupational (around 60%) and environmental/familial (7%) asbestos exposure. The proportion of PEM subjects with co-existent occupational and environmental/familial exposures was, however, twice as high as PLM cases (6.1% vs 3.1%). Asbestosis and pleural plaques were more frequent in PEM than in PLM cases (7.7% and 20.9% vs 0.4% and 12.1%, respectively). No differences were detected for duration of exposure and latency among occupationally exposed cases.
Conclusion:
Our findings from a population-based Registry suggest that high cumulative asbestos exposures are the main risk factors not only for pleural but also for peritoneal mesothelioma.
Insights
High asbestos exposure is a primary risk factor for both peritoneal mesothelioma (PEM) and pleural mesothelioma (PLM). This study found similar exposure patterns but higher rates of asbestosis and pleural plaques in PEM cases.
Area of Science:
- Occupational Health
- Environmental Epidemiology
- Oncology
Background:
- The link between asbestos exposure and peritoneal mesothelioma (PEM) requires further investigation, with some research suggesting a weaker association compared to pleural mesothelioma (PLM).
- Understanding exposure characteristics is crucial for diagnosing and preventing mesothelioma.
Purpose of the Study:
- To compare the individual, clinical, and asbestos exposure characteristics of peritoneal mesothelioma (PEM) and pleural mesothelioma (PLM) cases in the Lombardy Region, Italy.
- To investigate the role of cumulative asbestos exposure in the development of both mesothelioma types.
Main Methods:
- Utilized data from the Lombardy Region mesothelioma registry (over 9 million population).
- Analyzed 110 peritoneal mesothelioma (PEM) cases (2000-2007) and 515 pleural mesothelioma (PLM) cases (2000-2001).
- Collected asbestos exposure details (occupational, environmental/familial) via questionnaires and assessed asbestosis/pleural plaques using CT scans.
Main Results:
- Peritoneal mesothelioma (PEM) and pleural mesothelioma (PLM) cases showed similar occupational (approx. 60%) and environmental/familial (7%) asbestos exposure rates.
- PEM cases exhibited a higher proportion of combined occupational and environmental/familial exposures (6.1% vs. 3.1%) and more frequent asbestosis (7.7% vs. 0.4%) and pleural plaques (20.9% vs. 12.1%) compared to PLM.
- No significant differences in exposure duration or latency were found between occupationally exposed PEM and PLM cases.
Conclusions:
- High cumulative asbestos exposure is identified as a significant risk factor for both pleural and peritoneal mesothelioma.
- Findings support a strong etiological link between asbestos and peritoneal mesothelioma, similar to pleural mesothelioma.
Related Concept Videos
Pleural Disorders: Types and Brief Description
Pleura of the Lungs
Pleural Effusion I: Introduction
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's criteria,...

