Abstract
A 59-year-old man was referred to our hospital because of left pleural effusion detected at a regular medical checkup. A chest X-ray showed left pleural effusion. A thoracoscopic pleural biopsy specimen from the left side gave a pathological diagnosis of malignant pleural mesothelioma (MPM), epithelioid type. Then thoracoscopic exploration of the right pleura was performed because of fluorodeoxyglucose accumulation along the right dorsal pleura. Thoracoscopic exploration of the right indicated no visible tumor formation, but a pleural biopsy specimen revealed epithelioid MPM. In this case, MPM in each thorax was confined to the parietal pleura and was classified as stage I. We therefore suggest that MPM may develop simultaneously in both thoraxes.
References
Gemba K, Fujimoto N, Kato K et al (2012) National survey of malignant mesothelioma and asbestos exposure in Japan. Cancer Sci 103:483–490
Chahinian AP, Pajak TF, Holland JF et al (1982) Diffuse malignant mesothelioma. Prospective evaluation of 69 patients. Ann Intern Med 96:746–755
Duysinx B, Nguyen D, Louis R et al (2004) Evaluation of pleural disease with 18-fluorodeoxyglucose positron emission tomography imaging. Chest 125:489–493
Lang-Lazdunski L, Bille A, Lal R et al (2012) Pleurectomy/decortication is superior to extrapleural pneumonectomy in the multimodality management of patients with malignant pleural mesothelioma. J Thorac Oncol 7:737–743
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This research is a part of the research and development and dissemination projects related to the 13 fields of occupational injuries and illnesses of the Japan Labour Health and Welfare Organization.
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Fuchimoto, Y., Fujimoto, N., Asano, M. et al. Simultaneous occurrence of bilateral malignant pleural mesothelioma. Int Canc Conf J 3, 150–152 (2014). https://doi.org/10.1007/s13691-013-0135-5
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DOI: https://doi.org/10.1007/s13691-013-0135-5