Table 1 Summary of published cases of deciduoid mesothelioma

From: Deciduoid mesothelioma: report of 21 cases with review of the literature

Author(s)

Sex/age

Asbestos exposure

Location

Type of specimen

Histology

Treatment

Follow-up (months)

Talerman et al2

F/13

No

Peritoneum

Peritoneal biopsies

Undifferentiated polygonal cells arranged in a sheet-like pattern. High mitotic activity present, including atypical forms

Chemotherapy

DOD (8)

Nacimento et al1

F/23

No

Peritoneum

Peritoneal biopsies

Deciduoid

INA

DOD (4)

 

F/24

No

Peritoneum

Peritoneal biopsies

Deciduoid

INA

INA

Orosz et al3

F/15

No

Peritoneum

Peritoneal biopsy

Large polygonal or ovoid cells arranged in solid sheets or trabeculae. Binucleated cells present. Ten to 15 mitoses per 10 HPF, including atypical

Chemotherapy + radiotherapy

DOD (11)

Shanks et al4

M/59

No

Paratesticular, spermatic cord

Orchiectomy, autopsy

Deciduoid with occasional tubulopapillary or acinar areas

Orchiectomy + chemotherapy

DOD (4)

 

F/53

Yes

Peritoneum

Peritoneal biopsies

Deciduoid

Symptomatic

DOD (9)

 

M/65

Yes

Peritoneum

Biopsy + autopsy

Deciduoid

Tumor resection

DOD (4)

 

M/55

Yes

Peritoneum

Tumor resection

Deciduoid with tubular and sarcomatoid areas. Multi-nucleated cells and mitoses, including atypical

Tumor debulking

AWD (60)

 

F/55

No

Peritoneum

Peritoneal biopsies

Predominantly tubulopapillary with focal sarcomatoid areas and scattered small groups of deciduoid cells

Hysterectomy with bilateral salpingo-ooforectomy

DOD (4)

 

M/52

Yes

Pleura

Pleural biopsies

Deciduoid with tubulopapillary areas

Symptomatic

AWD (8)

Ordóñez5

F/46

No

Pleura

Pneumonectomy

Large polygonal or ovoid cells arranged in sheets or trabeculae. Three to five mitoses per 10 HPF

Pneumonectomy

DOD (6)

 

M/64

Yes

Pleura

Pneumonectomy

Sheets of large cells with abundant dense cytoplasm. Two to four mitoses per 10 HPF

Chemotherapy + pneumonectomy

DOD (8)

 

M/60

No

Pleura

Pneumonectomy

Solid sheets of large cells with dense eosinophilic cytoplasm and deciduoid features. Mitotic figures were not uncommon

Pneumonectomy + radiation

DOD (5)

 

M/78

Yes

Pleura

Pleural fluid

Large polygonal cells with abundant eosinophilic cytoplasm

INA

INA

Gloeckner-Hofmann et al6

F/40

No

Pleura

Pleural biopsy + tumor resection

Deciduoid

Chemotherapy

DOD

Puttagunta et al7

M/41

No

Pleura

Pleural biopsy

Deciduoid with rhabdoid change

Radiotherapy

DOD (21)

Desai et al8

F/53

INA

Peritoneum

Tumor resection

Giant cells with abundant eosinophilic cytoplasm and sharp borders. Nuclear pleomorphism with hyperchromasia and prominent nucleoli

Debulking + hysterectomy with bilateral salpingo-oophorectomy

INA

Gillespie et al9

F/50

No

Peritoneum

Peritoneal fluid

Deciduoid cells, some binucleated or multi-nucleated. An occasional mitosis was seen

Chemotherapy

AWD (12)

Henley et al10

F/30

No

Pleura

INA

Deciduoid with vacuolated Clear areas. Three mitoses per 10 HPF

Surgical resection + chemotherapy

AWD (5)

Monaghan and Al-Nafussi11

M/66

Yes

Pleura

Pleural biopsies

Large round, oval, and polygonal cells with abundant eosinophilic cytoplasm. Focal cytoplasmic vacuolization and rare mitoses

INA

INA

Okonkwo et al12

F/30

No

Peritoneum

Tumor resection

Deciduoid. One to three mitoses per 10 HPF

Surgical resection

NED (20)

Reis-Filho et al13

F/71

No

Pericardium

FNA biopsy, autopsy

Deciduoid with tubulopapillary areas. Two mitoses per 10 HPF

Symptomatic

DODa (48 h)

Serio et al14

F/23b

No

Pleura

Pleural biopsy

Deciduoid with focal tubulopapillary areas. Two mitoses per 10 HPF

Symptomatic

DOD (39)

 

M/73

Yes

Pleura

Pleural biopsy

Deciduoid with focal tubulopapillary areas. Two mitoses per 10 HPF

Chemotherapy

DOD (17)

Shia et al15

F/69

INA

Pleura

Pleurectomy specimen

Deciduoid

Lobectomy + pleurectomy

DOD (17)

 

F/51

INA

Peritoneum

Tumor resection

Deciduoid + tubulopapillary (<25%). Some deciduoid cells had pale or clear cytoplasm

Tumor debulking

DOD (1)

 

F/71

No

Pleura

Decortication

Deciduoid

Decortication

DOD (4)

 

M/65

Yes

Pleura

Pneumonectomy

Deciduoid

Pneumonectomy + radiation

NED (12)

 

M/56

Yes

Peritoneum

Resected specimen

Deciduoid + tubulopapillary (<5%)

Tumor debulking + chemotherapy

DOD (4)

Chung et al16

F/47

No

Peritoneum

Resected tumor

Deciduoid

Tumor debulking + chemotherapy

AWD (1)

Asioli et al17

M/62

No

Pleura, predominantly intrapulmonary localized

Lobectomy

Deciduoid

Lt. upper lobectomy

AWD (20)

Maeda et al18

F/24c

No

Peritoneum localized

Resected tumor

Deciduoid. Intranuclear inclusions, some cells were multinucleated and some had foamy cytoplasm. Two to three mitoses per 10 HPF

Resection

NED (32)

Mishra and Shet19

M/75

No

Paratesticular, tunica vaginalis

Orchiectomy

Predominantly composed of clear cells with focal deciduoid and rhabdoid areas. Small areas of tubulopapillary pattern present. Mitoses present

Orchiectomy

INA

Kimura et al20

M/70

No

Peritoneum

Peritoneal biopsy, autopsy

Deciduoid with irregular nuclei and some multi-nucleated cells. Prominent mucinous stroma

INA

DOD (12)

Mourra et al21

F/41d

No

Peritoneum

Tumor resection

Deciduoid with pleomorphic nuclei and rare mitoses

Tumor debulking

DOD (14)

Scattone et al22

F/23

Yes

Pleura

INA

Deciduoid

Palliative

DOD (39)

 

M/73

Yes

Pleura

INA

Deciduoid

Chemotherapy

DOD (43)

 

M/71

Yes

Pleura

INA

Deciduoid

Chemotherapy

DOD (38)

 

F/32

Yes

Pleura

INA

Deciduoid

Palliative

DOD (24)

 

F/52

Yes

Pleura

INA

Deciduoid

Chemotherapy

DOD (24)

 

M/74

Yes

Pleura

INA

Deciduoid

Chemotherapy

DOD (12)

Tsai et al23

M/13

No

Pleura

Pleural biopsy

Deciduoid with binucleated and multinucleated cells

Chemotherapy + pneumonectomy + chemotherapy

AWD (24)

Ustun et al24

F/59

No

Peritoneum

FNA, tumor resection

Deciduoid with occasional binucleated and multinucleated cells. Pseudonuclear inclusions and a few mitoses were seen

Resections

NED (3)

  1. Abbreviations: AWD, alive with disease; DOD, died of disease; FNA, fine needle aspiration; INA, information not available; NED, no evidence of disease.
  2. aPatient died 48 h after diagnosis, but had symptoms related to the disease for 8 months.
  3. bFamily history of mesothelioma.
  4. cPatient was pregnant.
  5. dTumor presented 6 months after caesarean section and was initially misinterpreted as pseudotumoral deciduosis.