title: [Pleuro-pulmonary metastases from a malignant mesothelioma of the tunica vaginalis].
abstract: BACKGROUND
  Mesothelioma is a malignant tumour of the serous membranes that principally affects the pleura. Peritoneal, pericardial and tunica vaginalis mesothelioma are very rare.
  
  
  METHODS
  We report the case of a 65-year-old male with malignant mesothelioma of the tunica vaginalis (MTV). He presented with several local recurrences and, five years after the initial surgery, with pulmonary nodules and a pleural effusion. Pleural biopsies confirmed epithelioid mesothelioma. A diagnosis of pleuro-pulmonary metastases from previous malignant MTV was made.
  
  
  CONCLUSIONS
  Malignant MTV is a rare and aggressive tumor with frequent local recurrences and, rarely, visceral metastases. This case report emphasizes the difficulties of the differential diagnosis between pleural mesothelioma and pleural metastases from MTV. The lack of any treatment for metastatic malignant MTV is discussed.
authors: Département de cancérologie générale, CLCC Oscar-Lambret, 3, rue Frédérique-Combenate, 59020 Lille cedex, France.
authors: D
authors: D
authors: Pannier
authors: A
authors: A
authors: Caty
authors: I
authors: I
authors: Hysi
authors: B
authors: B
authors: Bouchindhomme
authors: M C
authors: MC
authors: Copin
authors: H
authors: H
authors: Porte
authors: E
authors: E
authors: Dansin
mesh_terms: D001195:Asbestosis / Q000150:complications / Q000175:diagnosis / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000556:secondary*; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000556:secondary*; D011859:Radiography; D013736:Testicular Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D013737:Testis / Q000473:pathology