title: [A case of malignant mesothelioma showing rapid progression during one month].
abstract: 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.
authors.affiliation: National Hospital Organization Tokyo Hospital.
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Hara
authors.forename: Atsuhisa
authors.initials: A
authors.lastname: Tamura
authors.forename: Junko
authors.initials: J
authors.lastname: Suzuki
authors.forename: Kimihiko
authors.initials: K
authors.lastname: Masuda
authors.forename: Hideaki
authors.initials: H
authors.lastname: Nagai
authors.forename: Shinobu
authors.initials: S
authors.lastname: Akagawa
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Kawabe
authors.forename: Naohiro
authors.initials: N
authors.lastname: Nagayama
authors.forename: Kazuko
authors.initials: K
authors.lastname: Machida
authors.forename: Atsuyuki
authors.initials: A
authors.lastname: Kurashima
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Sagara
authors.forename: Hikotaro
authors.initials: H
authors.lastname: Komatsu
authors.forename: Hideki
authors.initials: H
authors.lastname: Yotsumoto
authors.forename: Akira
authors.initials: A
authors.lastname: Hebisawa
authors.forename: Akira
authors.initials: A
authors.lastname: Kimura
mesh_terms: 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