Mesothelioma differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Parminder Dhingra, M.D. [2], Sujit Routray, M.D. [3]
Overview
Mesothelioma must be differentiated from lung cancer, pulmonary tuberculosis, peritoneal tuberculosis, restrictive cardiomyopathy, and hypertrophic cardiomyopathy.[1]
Differentiating Mesothelioma from other Diseases
Differentiating Pleural Mesothelioma from other Diseases
Pleural mesothelioma must be differentiated from:[2][3]
- Pleural effusion
- Benign asbestos-related pleural disease
- Peripheral bronchogenic carcinoma
- Pleural fibrosis from infective/inflammatory source (e.g. actinomycetes, tuberculosis)
- Primary pleural tumors
- Secondary lesions that can involve the pleura
- Pleural metastases
- Thymoma with pleural invasion
- Pericardial tumors with pleural invasion
- Ewing sarcoma of chest wall with pleural invasion
Differentiating Peritoneal Mesothelioma from other Diseases
Peritoneal mesothelioma must be differentiated from:[4][5]
- Peritoneal carcinomatosis
- Pseudomyxoma peritonei
- Lymphoma with peritoneal involvement
- Peritoneal involvement with tuberculosis
- Mesenteric panniculitis
- Primary peritoneal adenomatoid tumor
- Primary peritoneal papillary serous carcinoma
- Primary peritoneal serous borderline tumor
- Diffuse peritoneal leiomyomatosis
- Desmoplastic small round cell tumor arising from the peritoneum
- Solitary fibrous tumor arising the peritoneum
- Peritoneal lymphangioma
- Peritoneal inclusion cyst
Differentiating Pericardial Mesothelioma from other Diseases
Pericardial mesothelioma must be differentiated from:[6]
- Heart failure
- Coronary heart disease
- Constrictive pericarditis
- Cardiomyopathy
- Tuberculosis pericarditis
- Cardiac tamponade
- Intra-atrial myxoma
Differentiating Multicystic Mesothelioma from other Diseases
Multicystic mesothelioma must be differentiated from:[7]
- abdominopelvic cystic lymphangioma: tends to affect younger patients
ovarian cystadenoma ovarian cystadenocarcinoma endometriosis cystic teratoma pseudomyxoma peritonei cystic mucinous tumour of pancreas
References
- ↑ Mesothelioma. Radiopaedia. http://radiopaedia.org/articles/mesothelioma. Accessed on 13th January, 2016. http://radiopaedia.org/articles/mesothelioma
- ↑ Differential diagnosis of mesothelioma. Dr Bruno Di Muzio and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/mesothelioma. Accessed on February 12, 2016
- ↑ Dr Yuranga Weerakkody et al. Radiopaedia 2016. http://radiopaedia.org/articles/pleural-tumours. Accessed on February 12, 2016
- ↑ Differential diagnosis of peritoneal mesothelioma. Dr Alexandra Stanislavsky et al. Radiopaedia 2016. http://radiopaedia.org/articles/peritoneal-mesothelioma. Accessed on February 12, 2016
- ↑ Primary peritoneal neoplasms. Dr Praveen Jha and Radswiki et al. Radiopaedia 2016. http://radiopaedia.org/articles/primary-peritoneal-neoplasms. Accessed on February 12, 2016
- ↑ Seek a Second Opinion to Avoid Misdiagnosis of Pericardial Mesothelioma. Asbestos.com 2016. http://www.asbestos.com/mesothelioma/pericardial.php. Accessed on February 12, 2016
- ↑ Differential diagnosis of multicystic mesothelioma. Dr Aditya Shetty and Dr Yuranga Weerakkody et al. Raiopaedia 2016. http://radiopaedia.org/articles/multicystic-mesothelioma. Accessed on February 12, 2016