Clinical report: A patient with primary peritoneal mesothelioma that has improved after taking citric acid orally

摘要

As a commentary to the article published in this journal by Sharma H et al. [1] on primary peritoneal mesothelioma; in this article I am interesting in commenting the case of a 64-year-old male patient diagnosed with primary peritoneal mesothelioma four years ago approximately; he received chemotherapy and was not a candidate for abdominal surgery, he remained stable until June 2010 when he presented increased of the ascitic sewage to four to five litters, and the study of positron emission tomography (PET scanner) reported increased activity of the tumor and car-cinomatosis data, which is why they contacted me and the patient started treatment with citric acid orally, 10 grams with each meal, every eight hours, and omeprazole 40 mg every 12 hours, since June 14, 2010 as his only treatment. Until today, November 26, 2010, the patient remained in excellent general conditions, with adequate feeding tolerance, increasing his weight, and he has not presented any complications described by Sharma H et al. including thrombosis or mixed abdominal symptoms [1]. The patient wants to take another PET scanner control within five to six weeks, but i'm interested in reporting this case that has not been described previously in medical literature about a patient with peritoneal mesothelioma with such excellent clinical evolution, and whose improvement is awarded to the citric acid that he is taking orally, like the patient with medullary thyroid cancer published who improves after taking citric acid orally as his only treatment [2].