Deciduoid mesothelioma: Cytologic presentation and diagnostic pitfalls
dc.contributor.author | Huang, Cheng Cheng | en_US |
dc.contributor.author | Michael, Claire W. | en_US |
dc.date.accessioned | 2013-07-08T17:45:19Z | |
dc.date.available | 2014-09-02T14:12:52Z | en_US |
dc.date.issued | 2013-07 | en_US |
dc.identifier.citation | Huang, Cheng Cheng; Michael, Claire W. (2013). "Deciduoid mesothelioma: Cytologic presentation and diagnostic pitfalls." Diagnostic Cytopathology 41(7): 629-635. <http://hdl.handle.net/2027.42/98759> | en_US |
dc.identifier.issn | 8755-1039 | en_US |
dc.identifier.issn | 1097-0339 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/98759 | |
dc.description.abstract | We report two cases of malignant deciduoid mesothelioma (MDM), a very rare variant of malignant mesothelioma (MM). Case 1: An 18‐year‐old male with no history of asbestos exposure presented with worsening abdominal pain, anorexia, and vomiting after a motor vehicle accident. A CT scan showed small amount of ascites and abdominal mass. An exploratory laparotomy revealed multiple yellow tan, firm nodules on the peritoneum and omentum. He received palliative treatment and died 5 months after the diagnosis. Case 2: A 64‐year‐old female with history of asbestos exposure initially presented with abdominal distension. CT scan showed abdominal mass with a large amount of ascites. A diagnostic laparoscopy revealed multiple peritoneal nodules. She underwent several regimens of chemotherapy over a period of 69 months and is still alive to date. In both cases, features of mesothelial origin were subtle and the smears showed predominantly single cells with marked nuclear atypia. The second case also contained few two‐dimensional loose cell clusters with scalloped or hobnail borders. The clusters often exhibited a pseudoacinar structure surrounding a globular extracellular material. Groups of three to four cells often formed doublets and triplets with cell‐to‐cell windows. Our results show that MDM may not present with the traditional cytological features described in MM and can manifest with more nuclear pleomorphism resulting in erroneous diagnosis. Recognition of the subtle mesothelial features along with the appropriate ancillary tests is essential for accurate diagnosis. Diagn. Cytopathol. 2013. © 2012 Wiley Periodicals, Inc. | en_US |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Peritoneal Effusion | en_US |
dc.subject.other | Cytology | en_US |
dc.subject.other | Malignant Deciduoid Mesothelioma | en_US |
dc.title | Deciduoid mesothelioma: Cytologic presentation and diagnostic pitfalls | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Pathology | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Pathology, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | Department of Pathology, Case Western Reserve University/University Hospitals Case Medical Center, 11100 Euclid Ave Rm 212B, Cleveland, OH 44106, USA | en_US |
dc.identifier.pmid | 23008275 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/98759/1/22902_ftp.pdf | |
dc.identifier.doi | 10.1002/dc.22902 | en_US |
dc.identifier.source | Diagnostic Cytopathology | en_US |
dc.identifier.citedreference | Goodman JE, Nascarella MA, Valberg PA. Ionizing radiation: a risk factor for mesothelioma. Cancer Causes Control 2009; 20: 1237 – 1254. | en_US |
dc.identifier.citedreference | Shanks JH, Harris M, Banerjee SS, et al. Mesotheliomas withdeciduoid morphology: A morphologic spectrum and a variantnot confined to young females. Am J Surg Pathol 2000; 24: 285 – 294. | en_US |
dc.identifier.citedreference | Nascimento AG, Keeney GL, Fletcher CD. 1994. Deciduoid peritoneal mesothelioma. An unusual phenotype affecting young females. Am J Surg Pathol 1994; 18: 439 – 445. | en_US |
dc.identifier.citedreference | Serio G, Scattone A, Pennella A, et al. Malignant deciduoid mesothelioma of the pleura: Report of two cases with long survival. Histopathology 2002; 40: 348 – 352. | en_US |
dc.identifier.citedreference | Gillespie FR, van der Walt JD, Derias N, Kenney A. Deciduoid peritoneal mesothelioma. A report of the cytological appearances. Cytopathology 2001; 12: 57 – 61. | en_US |
dc.identifier.citedreference | Reis‐Filho JS, Pope LZ, Milanezi F, Balderrama CM, Serapiao MJ, Schmitt FC. Primary epithelial malignant mesothelioma of the pericardium with deciduoid features: Cytohistologic and immunohistochemical study. Diagn Cytopathol 2002; 26: 117 – 122. | en_US |
dc.identifier.citedreference | Russell HK, Jr. A modification of Movat's pentachrome stain. Arch Pathol 1972; 94: 187 – 191. | en_US |
dc.identifier.citedreference | Hasteh F, Lin GY, Weidner N, Michael CW. The use of immunohistochemistry to distinguish reactive mesothelial cells from malignant mesothelioma in cytologic effusions. Cancer Cytopathol 2010; 118: 90 – 96. | en_US |
dc.identifier.citedreference | Cugell DW, Kamp DW. Asbestos and the pleura: A review. Chest 2004; 125: 1103 – 1117. | en_US |
dc.identifier.citedreference | Bridda A, Padoan I, Mencarelli R, Frego M. 2007. Peritoneal mesothelioma: A review. MedGenMed 2007; 9: 32. | en_US |
dc.identifier.citedreference | Antman KH, Pomfret EA, Aisner J, MacIntyre J, Osteen RT, Greenberger JS. Peritoneal mesothelioma: Natural history and response to chemotherapy. J Clin Oncol 1983; 1: 386 – 391. | en_US |
dc.identifier.citedreference | Metz‐Flamant C, Guseva Canu I, Laurier D. Malignant pleural mesothelioma risk among nuclear workers: A review. J Radiol Prot 2011; 31: 9 – 23. | en_US |
dc.identifier.citedreference | Ismail‐Khan R, Robinson LA, Williams CC, Jr, Garrett CR, Bepler G, Simon GR. Malignant pleural mesothelioma: A comprehensive review. Cancer Control 2006; 13: 255 – 263. | en_US |
dc.identifier.citedreference | Vogelzang NJ, Rusthoven JJ, Symanowski J, et al. Phase III study of pemetrexed in combination with cisplatin versus cisplatin alone in patients with malignant pleural mesothelioma. J Clin Oncol 2003; 21: 2636 – 2644. | en_US |
dc.identifier.citedreference | Mirarabshahii P, Pillai K, Chua TC, Pourgholami MH, Morris DL. Diffuse malignant peritoneal mesothelioma—An update on treatment. Cancer Treat Rev 2011; 38: 605 – 612. | en_US |
dc.identifier.citedreference | Kleinberg L, Lie AK, Florenes VA, Nesland JM, Davidson B. Expression of inhibitor‐of‐apoptosis protein family members in malignant mesothelioma. Hum Pathol 2007; 38: 986 – 994. | en_US |
dc.identifier.citedreference | Granados R, Cibas ES, Fletcher JA. Cytogenetic analysis of effusions from malignant mesothelioma. A diagnostic adjunct to cytology. Acta Cytol 1994; 38: 711 – 717. | en_US |
dc.identifier.citedreference | Xiao S, Renshaw A, Cibas ES, Hudson TJ, Fletcher JA. Novel fluorescence in situ hybridization approaches in solid tumors. Characterization of frozen specimens, touch preparations, and cytological preparations. Am J Pathol 1995; 147: 896 – 904. | en_US |
dc.identifier.citedreference | Pu RT, Pang Y, Michael CW. Utility of WT‐1, p63, MOC31, mesothelin, and cytokeratin (K903 and CK5/6) immunostains in differentiating adenocarcinoma, squamous cell carcinoma, and malignant mesothelioma in effusions. Diagn Cytopathol 2008; 36: 20 – 25. | en_US |
dc.identifier.citedreference | Lozano MD, Panizo A, Toledo GR, Sola JJ, Pardo‐Mindan J. Immunocytochemistry in the differential diagnosis of serous effusions: A comparative evaluation of eight monoclonal antibodies in Papanicolaou stained smears. Cancer 2001; 93: 68 – 72. | en_US |
dc.identifier.citedreference | Wiseman W, Michael CW, Roh MH. Diagnostic utility of PAX8 and PAX2 immunohistochemistry in the identification of metastatic Mullerian carcinoma in effusions. Diagn Cytopathol 2011; 39: 651 – 656. | en_US |
dc.identifier.citedreference | Santos C, Gamboa F, Fradinho F, Pego A, Carvalho L, Bernardo J. Deciduoid pleural mesothelioma—A rare entity in a young woman. Rev Port Pneumol 2012 Mar 15. [Epub ahead of print]. | en_US |
dc.identifier.citedreference | Okonkwo A, Musunuri S, Diaz L, Jr, Bedrossian C, Stryker S, Rao S. Deciduoid mesothelioma: A rare, distinct entity with unusual features. Ann Diagn Pathol 2001; 5: 168 – 171. | en_US |
dc.identifier.citedreference | Mourra N, de Chaisemartin C, Goubin‐Versini I, Parc R, Flejou JF. Malignant deciduoid mesothelioma: A diagnostic challenge. Arch Pathol Lab Med 2005; 129: 403 – 406. | en_US |
dc.identifier.citedreference | Michael CW. Maligant mesothelioma. In: Davidson B, Pinar F, Michael CW, editors. Serous effusions. London: Springer; 2012. p 79 – 98. | en_US |
dc.identifier.citedreference | Talerman A. Deciduoid or pseudodecidual mesothelioma. Am J Surg Pathol 2000; 24: 1179. | en_US |
dc.identifier.citedreference | Kato Y, Tsuta K, Seki K, et al. Immunohistochemical detection of GLUT‐1 can discriminate between reactive mesothelium and malignant mesothelioma. Mod Pathol 2007; 20: 215 – 220. | en_US |
dc.identifier.citedreference | Wu M, Sun Y, Li G, et al. Immunohistochemical detection of XIAP in mesothelium and mesothelial lesions. Am J Clin Pathol 2007; 128: 783 – 787. | en_US |
dc.identifier.citedreference | Ustun H, Astarci HM, Sungu N, Ozdemir A, Ekinci C. Primary malignant deciduoid peritoneal mesothelioma: A report of the cytohistological and immunohistochemical appearances. Diagn Cytopathol 2011; 39: 402 – 408. | en_US |
dc.identifier.citedreference | Talerman A, Montero JR, Chilcote RR, Okagaki T. Diffuse malignant peritoneal mesothelioma in a 13‐year‐old girl. Report of a case and review of the literature. Am J Surg Pathol 1985; 9: 73 – 80. | en_US |
dc.identifier.citedreference | Ordonez NG. Epithelial mesothelioma with deciduoid features: Report of four cases. Am J Surg Pathol 2000; 24: 816 – 823. | en_US |
dc.identifier.citedreference | Shia J, Erlandson RA, Klimstra DS. Deciduoid mesothelioma: A report of 5 cases and literature review. Ultrastruct Pathol 2002; 26: 355 – 363. | en_US |
dc.identifier.citedreference | Henley JD, Loehrer PJ, Sr, Ulbright TM. Deciduoid mesothelioma of the pleura after radiation therapy for Hodgkin's disease presenting as a mediastinal mass. Am J Surg Pathol 2001; 25: 547 – 548. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.