The three major types of peritoneal mesothelioma are epithelial, sarcomatoid, and mixed (also known as biphasic). Because all are rare and occasionally misdiagnosed, it’s best to have a specialist in mesothelioma examine you, and with the help of an experienced pathologist determine which subtype you may have. On occasion, a person has inflammation in the abdomen that leads to noncancerous changes in the lining of the peritoneum, for example, that are mistaken for mesothelioma.
Knowing which type you have is very important for determining your best course of treatment. Within the epithelial subtype alone there are varying grades of disease, and one of them – well-differentiated papillary mesothelioma – may not require monitoring with anything other than a radiology test such as a CT scan.
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