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KMID : 0378120030300020275
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Chungnam Medical Journal
2003 Volume.30 No. 2 p.275 ~ p.281
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A Case of Malignant Mesothelioma Mimicking Hepatocelluar Carcinoma
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Kim Sun-Moon
Heo Won-Seok
Chae Kyung-Hoon
Kang Yoon-Sae
Jung Jae-Hoon
Kim Yeon-Soo
Park Ki-Oh
Moon Hee-Seok
Lee Eaum-Seok
Kim Seok-Hyun
Sung Jae-Kyu
Lee Byung-Seok
Lee Heon-Young
Shin Kyung-Sook
Cho Joon-Sik
Song In-Sang
Kang Dae-Young
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Abstract
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Malignant peritoneal mesothelioma is a rare neoplasm that arises from the mesothelium of a serosal cavity and is a rapidly fatal disease with a median survival of 4 to 12 months for untreated cases. Recently, we experienced a case with malignant peritoneal mesothelioma who was suspected hepatocelluar carcioma by abdominal CT scan and was confirmed by biopsy including immunohistochemical stain(calretinin) after surgery. We performed tumor excisions and wedge resection of the liver(segment Ⅷ)and inserted Tencoff catheter in abdominal cavity at 25th day of post-operation. We treated with intraperitoneal paclitaxel(25mg/m^(2)/day for 5 days) six courses monthly. She was well tolerable and is still living without any evidence of recurrence for 14th month of post-operation.
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KEYWORD
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Malignant peritoneal mesothelioma, Calretinin, Intraperitoneal Paclitaxel
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