Duodenal metastasis of malignant pleural mesothelioma.
Metastatic malignant mesothelioma of the pleura is uncommon at the time of initial diagnosis. The gastrointestinal lumen is rarely found at autopsy in patients with widespread disease. Here, we describe an extremely rare case of isolated duodenal metastasis of sarcomatoid mesothelioma of the pleura in a 73-year-old man, without memory of any direct exposure to asbestos. The possibility of gastrointestinal tract metastasis should be considered in the presence of anemia or positive occult blood test in patients with malignant pleural mesothelioma.
Chen
Huang-Chi
HC
Division of Chest Medicine, Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan.
Tsai
Kun-Bow
KB
Wang
Chuan-Sheng
CS
Hsieh
Tsyh-Jyi
TJ
Hsu
Jui-Sheng
JS
D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D004379:Duodenal Neoplasms / Q000175:diagnosis / Q000556:secondary*; D016099:Endoscopy, Gastrointestinal; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis / Q000556:secondary*; D010997:Pleural Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed