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Insights into Imaging
Fig. 5 | Insights into Imaging

Fig. 5

From: Primary and secondary tumors of the peritoneum: key imaging features and differential diagnosis with surgical and pathological correlation

Fig. 5

Malignant epithelioid peritoneal mesothelioma in a 60-year-old man. a–d Axial CT images with positive oral contrast and intravenous contrast in the portal phase show “wet type” malignant epithelioid mesothelioma with ascites (white asterisks), stranding of the mesenteric fat (yellow arrow) and diffuse thickening of the peritoneal folds more prominent in the mesenteric root (red arrows). e Surgical specimen shows multiple implants with a diffuse distribution involving the parietal peritoneum (blue arrows), the greater omentum (yellow arrows), the small bowel mesentery, rectum and sigma (white arrows). f Hematoxylin–eosin (H&E) stain photomicrograph shows a malignant epithelioid peritoneal mesothelioma with papillary areas (black arrows), that infiltrates the adjacent soft tissues (yellow arrows)

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