Review
Copyright ©2009 Baishideng.
World J Gastrointest Surg. Nov 30, 2009; 1(1): 38-48
Published online Nov 30, 2009. doi: 10.4240/wjgs.v1.i1.38
Figure 1
Figure 1 Macroscopically, diffuse malignant peritoneal mesothelioma (DMPM) is characterized by thousands of whitish tumor nodules of variable size and consistency that may coalesce to form plaques or masses or layer out evenly to cover the entire peritoneal surface.
Figure 2
Figure 2 DMPM implantation in the lateral abdominal wall along previous laparoscopic trochar tracts.
Figure 3
Figure 3 Histopathology of DMPM. A: DMPM-epithelial type, characterized by cuboidal or flattened epithelial-like malignant mesothelial cells (HE, × 20); B: Sarcomatoid type, characterized by sarcomatous spindle-shaped mesothelial cells (HE, × 20); C: Biphasic type, characterized by presence of two phenotypes occurred in same tumor, but sometimes they are intimately admixed (HE, × 20).
Figure 4
Figure 4 Cumulative survival after cytoreductive surgery and perioperative intraperitoneal chemotherapy for DMPM. The prognostic significance of mesothelioma nuclear size was P < 0.001.