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A 52-year-old man presented with abdominal pain and weight loss. A CT scan showed diffuse thickening of the anterior peritoneum over the small bowel. Laparotomy revealed an area of adherent small bowel with diffuse nodularity of the serosal surface. The area of nodularity was 14.0 x 11.0 cm in area and up to 1.5 cm in thickness with a fleshy, tan-white cut surface.
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• Gastrointestinal stromal tumor
• Malignant mesothelioma
• Mesothelial hyperplasia
• Metastatic colorectal adenocarcinoma
• Metastatic pulmonary adenocarcinoma
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