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Mesothelioma
Treatment
Articles
and Abstracts
Laparoscopy
and mesothelioma
J
Laparoendosc Adv Surg Tech A 1999
Oct;9(5):433-7
Stamat
JC, Chekan EG, Ali A, Ko A, Sporn TA,
Eubanks WS
Department
of Surgery, Duke University Medical
Center, Durham, North Carolina 27710,
USA.
Malignant
mesothelioma is a well-recognized
long-term sequela of chronic asbestos
exposure. Asbestos use in the United
States began in the 1950s and was
widespread until the mid-1970s. Although
currently only 2.2 cases per million
population per year are diagnosed, disease
incidence is increasing because of the
long latency of this neoplasm. A latency
of 15-50 years means that a higher
incidence of this neoplasm can be
anticipated in the future. The authors
report a patient with peritoneal
mesothelioma and no known prior exposure
to asbestos. The diagnosis was confirmed
by exploratory laparoscopy, which entailed
biopsies of the diaphragm and of the
peritoneal and abdominal walls, and by
cytologic evaluation of 700 ml ascitis
fluid. At present, exploratory laparoscopy
offers the quickest, safest, and least
invasive way to confirm the clinical
diagnosis of peritoneal malignant
mesothelioma.
PMID:
10522541
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