RT Journal Article T1 "Omental Cake" in a Patient With Asbestosis Leading to the Diagnosis of Malignant Peritoneal Mesothelioma. A1 García Martínez, Alejandro A1 Pavón Guerrero, Inmaculada A1 Campos Gonzaga, Lidia K1 abdominal pain K1 asbestosis K1 laparoscopy with peritoneal biopsy K1 malignant peritoneal mesothelioma K1 “omental cake”. AB We report a case of a 68-year-old man with medical history of pleural asbestosis and diagnosed with malignant peritoneal mesothelioma. This neoplasm is rare, has a poor prognosis, and is associated with asbestosis in many cases. It manifests clinically insidiously and in relation to the intra-abdominal locoregional effect. Radiological findings are variable, although the finding of "omental cake" by CT scan is characteristic but not pathognomonic, as seen in our case. A biopsy is required for the diagnosis, which can be guided by radiology or surgery. Treatment options available are cytoreductive surgery with intraperitoneal hyperthermic chemotherapy or systemic chemotherapy. However, new therapeutic options are emerging, which are still under development and research. SN 2168-8184 YR 2021 FD 2021-05-19 LK https://hdl.handle.net/10668/25068 UL https://hdl.handle.net/10668/25068 LA en DS RISalud RD Apr 19, 2025