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Primary:
- Mesothelioma
- Rare
- Exposure to asbestos
- Poor prognosis
- Abdominal pain, wt. loss. mass
- US, CT
- Debulking surgery,
- Chemo/radiotherapy
- Mesothelioma
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Secondary:
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Carcinomatosis peritonei: Terminal event, studded with secondary growth, ascites (straw, blood stained).
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Pseudomyxoma peritonei:
- Rare, commoner in female due to ruptured mucinous cystadenocarcinoma (appendiceal origin in most cases).
- Abdominal distended due to yellow jelly like fluid.
- U/S, CT- scalloped indentation help diagnosis.
- Treatment: Excision of primary, debulking, chemotherapy.
- Recur over months to years
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