title: Parasternal lymph node metastasis of malignant peritoneal mesothelioma: report of a case.
abstract: 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.
authors.affiliation: Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
authors.forename: Shinya
authors.initials: S
authors.lastname: Ito
authors.forename: Noritaka
authors.initials: N
authors.lastname: Isowa
authors.forename: Mio
authors.initials: M
authors.lastname: Li
authors.forename: Seiki
authors.initials: S
authors.lastname: Hasegawa
authors.forename: Hiromi
authors.initials: H
authors.lastname: Wada
mesh_terms: 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