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) |