Malignant pleural mesothelioma detected by spontaneous pneumothorax.
We report a middle-aged man, without occupational or environmental exposure to asbestos, who presented with spontaneous pneumothorax. Computed tomography showed a 13-mm right apical mass. He underwent tumorectomy and was diagnosed with malignant pleural mesothelioma. A local recurrence with multiple and diffuse pleural involvement later appeared. The patient eventually underwent panpleuropneumonectomy, recovered well, and has been doing well for 18 months.
Makidono
Akari
A
Department of Radiology, St. Luke's International Hospital, Tokyo, Japan. makiak@luke.or.jp
Matsusako
Masaki
M
Oikado
Katsunori
K
Saida
Yukihisa
Y
Otsuji
Mizuto
M
Otawa
Masaki
M
Suzuki
Koyu
K
Inai
Kouki
K
Ishikawa
Shigemi
S
D000328:Adult; D001706:Biopsy; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000532:radiotherapy / Q000601:surgery; D011013:Pneumonectomy; D011030:Pneumothorax / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Dis Chest. 1956 Nov;30(5):549-56
13365504
Radiographics. 2004 Jan-Feb;24(1):105-19
14730040
Chest. 1995 Sep;108(3):754-8
7656629
Ann Thorac Cardiovasc Surg. 2007 Aug;13(4):262-6
17717504
Semin Thorac Cardiovasc Surg. 2009 Summer;21(2):97-104
19822280
Surg Today. 2002;32(3):267-9
11991515
J Thorac Oncol. 2009 Aug;4(8):1038-40
19633479
Am J Surg Pathol. 2005 Jul;29(7):866-73
15958850
Am J Ind Med. 2000 Aug;38(2):219-23
10893511