[A case of malignant mesothelioma showing rapid progression during one month].
A 57-year-old man with massive right pleural effusion was admitted to our hospital. Thoracoscopy revealed, fine granulations and small nodules scattered on the parietal pleura. Biopsy specimens suggested malignant mesothelioma. We performed thoracoscopy again one month later under general anesthesia to make a definitive diagnosis. At that time, the parietal pleura was covered with a large tumor and malignant mesothelioma was diagnosed by biopsy. We could find early pleural lesions of malignant mesothelioma in thoracoscopy. While we managed to make a definitive diagnosis, the tumor progressed rapidly during one month. If malignant pleural mesothelioma is suspected, it is necessary to make all efforts, including surgical biopsy, to diagnose during the early stage of disease.
Hara
Hiromichi
H
National Hospital Organization Tokyo Hospital.
Tamura
Atsuhisa
A
Suzuki
Junko
J
Masuda
Kimihiko
K
Nagai
Hideaki
H
Akagawa
Shinobu
S
Kawabe
Yoshiko
Y
Nagayama
Naohiro
N
Machida
Kazuko
K
Kurashima
Atsuyuki
A
Sagara
Yuzo
Y
Komatsu
Hikotaro
H
Yotsumoto
Hideki
H
Hebisawa
Akira
A
Kimura
Akira
A
D001706:Biopsy; D018450:Disease Progression; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D016066:Pleural Effusion, Malignant / Q000175:diagnosis*; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D013906:Thoracoscopy; D013995:Time