Parasternal lymph node metastasis of malignant peritoneal mesothelioma: report of a case.
We report a case of malignant peritoneal mesothelioma with parasternal lymph node metastasis. The patient was a 34-year-old man who presented with a history of several years of abdominal pain and ascites of unknown origin. Exploratory laparoscopic biopsies yielded histological findings of malignancy, but a final diagnosis was not able to be made. A chest computed tomographic scan done the following year showed a parasternal nodule, and thoracoscopically obtained biopsied material was positive for calretinin. These findings led to a pathological diagnosis of metastasis to the parasternal lymph node from peritoneal mesothelioma.
Ito
Shinya
S
Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Isowa
Noritaka
N
Li
Mio
M
Hasegawa
Seiki
S
Wada
Hiromi
H
D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D010535:Laparoscopy; D008207:Lymphatic Metastasis; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis / Q000601:surgery*; D010534:Peritoneal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed