Malignant mesothelioma eight years after a diagnosis of atypical mesothelial hyperplasia.

Abstract:

:The separation of mesothelial hyperplasia from early malignant mesothelioma remains one of the most difficult problems in histopathology. Inconclusive cases are termed "atypical mesothelial hyperplasia" and treated expectantly. A 49 year old male pipeline engineer was diagnosed as having atypical mesothelial hyperplasia in appendiceal serosa by the US-Canadian Mesothelioma Panel. Eight years later, he developed overtly malignant peritoneal and pleural mesothelioma. In hindsight, histological similarities between the diffuse malignant mesothelioma and the atypical mesothelial proliferation suggested malignancy from the outset. The most important of these features were the degree of mesothelial proliferation, micronodularity, architectural complexity, superficial invasion, uniform mild cytological atypia, and the absence of a clinical cause for a benign mesothelial proliferation. Ancillary investigations including immunohistochemistry were of no benefit in determining whether the atypical mesothelial hyperplasia was benign or malignant. Careful histological examination remains the mainstay of the diagnosis of early mesothelioma.

journal_name

J Clin Pathol

authors

Scurry J,Duggan MA

doi

10.1136/jcp.52.7.535

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

535-7

issue

7

eissn

0021-9746

issn

1472-4146

journal_volume

52

pub_type

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