The Journal of the Japanese Respiratory Society ONLINE JOURNAL
ABSTRACT
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Article in Japanese
Diagnostic Imaging
Malignant pleural mesothelioma with multiple nodules
Michiko Asano1), Kenichi Gemba1), Nobukazu Fujimoto1), Hideyuki Nishi2), Koji Taguchi3) and Takumi Kishimoto1)
1)Department of Respiratory Medicine, Okayama Rosai Hospital
2)Department of Surgery, Okayama Rosai Hospital
3)Department of Pathology, Okayama Rosai Hospital
ABSTRACT
A 62-year-old man with left chest pain had left pleural effusion pointed out on a chest radiograph. Chest CT scans showed multiple nodules on the left parietal pleura and pleural effusion. He was referred to our hospital and we performed thoracoscopic examination. Malignant pleural mesothelioma (biphasic type) was diagnosed, based on the pathological findings of a parietal nodular mass, including immunohistological analysis. Chemotherapy using carboplatin and pemetrexed reduced the size of tumor and left pleural effusion. This is a rare case with atypical CT findings of malignant pleural mesothelioma.
KEYWORDS: Malignant pleural mesothelioma, Multiple nodules, Diagnostic imaging, Chest CT
RECEIVED: 2011.5.23
JJRS, 49(12): 986-989, 2011