[Unusual metastasis of a malignant pleural mesothelioma].
Usually malignant pleural mesothelioma causes pain and dyspnoea due to local invasion of the chest wall and compression of the lung. Distant metastases rarely cause symptoms. We report on a patient with an epithelial subtype of malignant pleural mesothelioma who presented himself after chemo- and immunotherapy with shortness of breath and loss of weight due to a temporo-mandibular joint and a new nodular shadow in the contralateral lung. The prior diagnosis of an epithelial subtype of pleural mesothelioma was confirmed histologically in a pleural biopsy as well as in the resected orofacial metastases.
Leutz
M
M
Medizinische Universitätsklinik, Innere Medizin V, Universitätskliniken des Saarlandes. pnmleu@krzsun.med-rz.uni-sb.de
Ukena
D
D
Sybrecht
G W
GW
D000368:Aged; D003952:Diagnostic Imaging; D005153:Facial Neoplasms / Q000175:diagnosis / Q000556:secondary*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000556:secondary*; D008207:Lymphatic Metastasis; D008297:Male; D008406:Masseter Muscle; D008654:Mesothelioma / Q000175:diagnosis / Q000556:secondary*; D010997:Pleural Neoplasms / Q000175:diagnosis*