Patients typically present to their GP, A & E or from another specialty with various symptoms including abdominal pain/discomfort, abdominal swelling, weight loss, constipation, fever, vomiting, diarrhoea, etc. There are a number of investigations that can be carried out to ascertain a diagnosis but not all patients will require every investigation.
CT (computed tomography) scan
A CT (computed tomography) scan uses computers and a rotational X-ray machine to take cross sectional images of your body. It provides more detail than a X-ray and usually lasts no longer than 15-30 minutes. An injection containing a special dye called contrast can be used to highlight the images.
MRI (Magnetic Resonance Imaging) scan
A MRI (Magnetic Resonance Imaging) scan uses strong magnetic fields and radio waves to take detailed images of the body. The MRI is a tube-like structure and patients are asked to lie flat during the duration of the scan which can last between 15-60 minutes.
CT Positron Emission Tomography scan (CT PET)
A CT PET scan can help identify if a cancer has spread to other parts of your body. You will be given an injection called a radiotracer which goes around your body and highlights any abnormal areas.
Needle Aspiration
A needle aspiration can be used to extract fluid from the abdomen to check for cancer cells. This is usually done under US or CT guidance and can also be used to relieve symptoms by removing larger volumes of fluid via a small drain.
CT/USS guided biopsy
A CT or USS guided biopsy is a procedure where a Radiologist will insert a needle under CT or ultrasound guidance to obtain a small tissue sample (biopsy). You will be given sedation for this procedure.
Laparotomy
A Laparotomy is a procedure where small incisions are made into the abdomen, a camera is then inserted into the abdominal cavity to closely examine the abdominal organs and collect a biopsy sample to aid diagnosis.
National Peritoneal Mesothelioma MDT
Once a patient is diagnosed with peritoneal mesothelioma, they are often referred to the National Peritoneal Mesothelioma MDT based in Basingstoke, UK.
The monthly video-conferencing national MDT incorporates PMI Basingstoke, Good Hope Hospital, Birmingham and The Mater Hospital in Dublin. All centres are able to view radiological images and speak with, and visualise, all participants. Core members includes surgeons, radiologists, specialist nurses, pathologists and oncologists with an interest in PM. The peritoneal mesothelioma nurse specialist acts as the patient’s advocate, advising on suitable clinical trials, signposting support for patients, and referring them to other services. Review focuses on clinical details, radiological imaging and review of histology. Discussions explore clinical presentation, symptoms, diagnostic pathways and histological confirmation aiming to provide therapeutic recommendations.
The MDT is held on the first Tuesday of the month.
For more information on Peritoneal Mesothelioma please see websites below:
Please click on the Mesothelioma UK peritoneal booklet for more information
