A case of @entity3620 and the peritoneum is reported. In April 1996, a 40-year-old @entity1 noticed @entity615 . Radiographic examinations and MRI revealed @entity1143 , @entity843 , ringed enhanced @entity5 lesions in the right posterior diaphragm along the abdominal aorta, and marked thickening of the right diaphragm with moderate signal intensity. On thoracoscopic surgery, there were white small nodules on the intercostal parietal pleura. @entity5 cells of a tubulopapillary pattern had large rounded nuclei and eosinophilic cytoplasms in a partially glandlike arrangement. Cytoplasms of @entity5 cells stained for alcian blue disappeared after hyaluronidase digestion. Immunohistochemical examinations showed positive staining for keratin but negative for @entity787 . Electron micrographs showed numerous long thin microvilli, desmosomes and intermediate tonofilaments. From these findings, malignant @entity2615 was diagnosed. The malignant @entity2615 cells of the pleura in this case were considered to disseminate the peritoneum directly through the diaphragm or its lymphatic canals. MRI and thoracoscopic surgery were useful for the demonstration of the @entity1143 and abdominal invasions.

[A case of @entity3620 and the peritoneum detected by @entity615 and XXXX and @entity843 ].

@entity1 :: ('9606', 'Species') :: ['men'] @entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural disseminations', 'pleural effusions'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'tumorous', 'Tumor'] @entity843 :: ('MESH:D001201', 'Disease') :: ['ascites'] @entity787 :: ('1084', 'Gene') :: ['CEA'] @entity2615 :: ('MESH:D008654', 'Disease') :: ['mesothelioma'] @entity3620 :: ('MESH:C562839', 'Disease') :: ['malignant mesothelioma of the pleura'] @entity615 :: ('MESH:D001416', 'Disease') :: ['sudden onset of back pain']
@entity1143 :: (MESH:D010996,Disease) :: ['pleural effusion']
