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CASE REPORT
Unusual presentation of a late-onset recurrence of malignant peritoneal mesothelioma
  1. Marije Wijnberge1,
  2. Lidewine Daniels2,
  3. Vincent Cliteur3,
  4. Jasper Winkelhagen2
  1. 1Department of Medicine, Academic Medical Center, Amsterdam, The Netherlands
  2. 2Department of Surgery, West Fries Gasthuis, Hoorn, The Netherlands
  3. 3Department of Pathology, West Fries Gasthuis, Hoorn, The Netherlands
  1. Correspondence to Dr Marije Wijnberge, m.wijnberge{at}amc.uva.nl

Summary

A man aged 79 years with a history of malignant peritoneal mesothelioma presented 8 years after primary presentation with a suspected right-sided painful inguinal hernia and hydrocele, both present for 5 months. During surgery, however, the inguinal swelling appeared to be a tumour. Laboratory examination was non-alarming and ultrasonography not specific for mesothelioma. Pathological examination showed it to be a recurrence of the malignant mesothelioma, which was treated palliative with radiotherapy. This clinical picture is rare and a recurrence-free survival of 8 years is remarkable.

https://doi.org/10.1136/bcr-2016-218573

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    Footnotes

    • Contributors MW, JW and LD decided this case was worth writing up. MW, JW and LD were involved in the clinical care for the patient described in this case report. MW performed a systematic literature search and wrote the manuscript. VC provided pathology expertise and pathology images. LD, JW and VC critically revised the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.