Localized gastric mesothelioma with nodal metastasis-an exceptionally rare entity.

Abstract

Localized mesothelioma is a rare disease with very few reports of presentation in visceral organs. We report a case of localized gastric mesothelioma with lymph node metastasis in a 32-year-old man without asbestos exposure. A failed attempt at resection was made before presentation at another center. He was given perioperative chemotherapy that was followed by a D2 radical subtotal gastrectomy and hyperthermic intraperitoneal chemotherapy. Histopathology showed epithelioid mesothelioma with nodal metastasis but without visceral peritoneal involvement. Cytoreductive surgery and regional chemotherapy are standard in diffuse mesothelioma. Management of localized mesothelioma is anecdotal; however aggressive surgery plays a central role with selective use of perioperative chemotherapy.

• Authors: Mufaddal Kazi, Tejas Vispute, Prarthna Shah, Mukta Ramadwar, Manish S Bhandare, Shailesh V Shrikhande, Vikram A Chaudhari
• Journal: Indian journal of surgical oncology (Indian J Surg Oncol) Vol. 13 Issue 3 Pg. 612-615 (Sep 2022) ISSN: 0975-7651 [Print] India
• PMID: 36187519 (Publication Type: Journal Article)
• Copyright: © The Author(s), under exclusive licence to Indian Association of Surgical Oncology 2022.