[Diagnosis and treatment of 41 patients with malignant peritoneal mesothelioma].

OBJECTIVE

To study the methods of diagnosis and treatment of malignant peritoneal mesothelioma.

METHODS

The clinical data of 41 patients with malignant peritoneal mesothelioma pathologically confirmed were retrospectively analyzed.

RESULTS

Of these 41 patients, abdominal pain and diarrhea were found in 38 and 35. The histopathologic types were: epitheloid, fusiform and mixed in 21, 11 and 9 cases. CT was performed in 21 and laparoscopic exploration in 13. The overall surgical resection rate was 70.7%. After operation, local abdominal cavity chemotherapeutic instillation was given in 12, systemic chemotherapy in 23 and immunotherapy in 3. The two year survival rate was 36.6%.

CONCLUSIONS

For malignant peritoneal mesothelioma, the final diagnosis depends on histological examination and the treatment should be surgical-core combined methods.