Peritoneal Mesothelioma in a Patient with Long-Standing Crohn's Disease: Cause or Coincidence?

被引：0
|
作者：
Prata, Rita [1 ]
Martins, Pedro Lages [1 ]
Borges, Veronica P. [1 ]
Botelho, Pedro [2 ]
Figueiredo, Antonio [3 ]
Ramos, Jaime [1 ]
机构：
[1] Unidade Local Saude Sao Jose, Dept Gastroenterol, Lisbon, Portugal
[2] Unidade Local Saude Sao Jose, Dept Colorectal Surg, Lisbon, Portugal
[3] Unidade Local Saude Sao Jose, Dept Pathol, Lisbon, Portugal
来源：
GE PORTUGUESE JOURNAL OF GASTROENTEROLOGY | 2025年
关键词：
Peritoneal mesothelioma; Crohn's disease; Chronic inflammation; Mesotelioma peritoneal; Doen & ccedil; a de Crohn; Inflama & ccedil; & atilde; o cr & oacute; nica;
D O I：
10.1159/000543667
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Introdu & ccedil;& atilde;o: O mesotelioma peritoneal (PeM) & eacute; uma neoplasia prim & aacute;ria rara do revestimento peritoneal. Ao contr & aacute;rio do mesotelioma pleural, o PeM est & aacute; menos frequentemente associado & agrave; exposi & ccedil;& atilde;o a amianto. A inflama & ccedil;& atilde;o serosa cr & oacute;nica, como a que se pode observar na doen & ccedil;a de Crohn (DC), tem sido proposta como um fator que contribui para a carcinog & eacute;nese do PeM.Apresenta & ccedil;& atilde;o do caso: Homem com diagn & oacute;stico de DC ileal de longa evolu & ccedil;& atilde;o apresentou-se com epis & oacute;dios recorrentes de suboclus & atilde;o intestinal. Imagiologicamente, exibia altera & ccedil;& otilde;es sugestivas de DC ileal complexa ativa, e ascite e densifica & ccedil;& atilde;o peritoneal de novo. No intraoperat & oacute;rio, foi identificada uma massa do intestino delgado aderente ao c & oacute;lon sigmoide e n & oacute;dulos milim & eacute;tricos do peritoneu. A histologia do segmento ressecado mostrou altera & ccedil;& otilde;es compat & iacute;veis com DC e m & uacute;ltiplos focos de mesotelioma epiteli & oacute;ide, apesar da aus & ecirc;ncia de hist & oacute;ria de exposi & ccedil;& atilde;o a amianto. Foi submetido a cirurgia citorredutora combinada com quimioterapia intraperitoneal hipert & eacute;rmica, sem evid & ecirc;ncia de recidiva ap & oacute;s 15 meses de seguimento.Discuss & atilde;o/Conclus & atilde;o: Apresenta-se um caso raro de PeM n & atilde;o relacionado com exposi & ccedil;& atilde;o a amianto num doente com DC ativa de longa dura & ccedil;& atilde;o, destacando os desafios diagn & oacute;sticos e a poss & iacute;vel liga & ccedil;& atilde;o entre a inflama & ccedil;& atilde;o serosa cr & oacute;nica e o PeM.Palavras ChaveMesotelioma peritoneal, Doen & ccedil;a de Crohn, Inflama & ccedil;& atilde;o cr & oacute;nica
引用
收藏
页数：6
相关论文
共 50 条
  • [1] Newly diagnosed Crohn's disease in a patient with long-standing HIV
    Izanec, JL
    Nagle, DA
    Gordon, SJ
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2005, 100 (09): : S246 - S247
  • [2] Long-standing remission of Crohn's disease under imatinib therapy in a patient with Crohn's disease
    Magro, F.
    Costa, C.
    INFLAMMATORY BOWEL DISEASES, 2006, 12 (11) : 1087 - 1089
  • [3] ILEAL MYCOBACTERIUM TUBERCULOSIS IN A PATIENT TREATED FOR LONG-STANDING CROHN'S DISEASE.
    Gimon, T.
    MacLean, A. R.
    DISEASES OF THE COLON & RECTUM, 2018, 61 (05) : E122 - E123
  • [4] Adenocarcinoma of the appendix associated with long-standing Crohn's disease
    Almogy, G
    Fellig, Y
    Paz, K
    Durst, A
    Eid, A
    INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 2001, 16 (06) : 408 - 409
  • [5] Crohn's disease in late adolescence: Acute onset or long-standing disease?
    Wengrower, D
    Goldin, E
    Fich, A
    Granot, E
    JOURNAL OF CLINICAL GASTROENTEROLOGY, 1997, 24 (04) : 224 - 226
  • [6] Abnormal bone turnover in long-standing Crohn's disease in remission
    Schoon, EJ
    Geerling, BG
    Van Dooren, IMA
    Schurgers, LJ
    Vermeer, C
    Brummer, RJM
    Stockbrügger, RW
    ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2001, 15 (06) : 783 - 792
  • [7] Benign multicystic peritoneal mesothelioma in a patient with Crohn disease
    Fluxa, Daniela
    Kronberg, Udo
    Lubascher, Jaime
    O'Brien, Andres
    Las Heras, Facundo
    Ibanez, Patricio
    Quera, Rodrigo
    REVISTA MEDICA DE CHILE, 2016, 144 (12) : 1612 - 1616
  • [8] Small-bowel lymphoma complicating long-standing Crohn's disease
    Woodley, HE
    Spencer, JA
    MacLennan, KA
    AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 169 (05) : 1462 - 1463
  • [9] Large Gastrointestinal Stromal Tumor in Long-Standing Crohn's Disease on Adalimumab
    Kassab, Ihab
    Mehta, Meetal
    Saleem, Bilal
    Arsenescu, Razvan
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2017, 112 : S1341 - S1342
  • [10] Kaposi's sarcoma and cytomegaloviral ileocolitis complicating long-standing Crohn's disease in an HIV-negative patient
    Cohen, RL
    Tepper, RE
    Urmacher, C
    Katz, S
    AMERICAN JOURNAL OF GASTROENTEROLOGY, 2001, 96 (10): : 3028 - 3031
12345