Extrapleural pneumonectomy plus rib resection for malignant pleural mesothelioma: a case report.
We report a case of a 58-year-old Japanese man with epithelioid-type MPM, with a left chest wall protruding tumor, who underwent extrapleural pneumonectomy and chest wall resection. Postsurgical pathology showed that surgical margins were free of mesothelioma cells. Positron emission tomography taken 5 years after surgery showed no recurrence at any site, suggesting that long-term survival could be dependent on margin-free tumor resection or that specific MPM subgroups have lower malignant potential, leading to improved survival.
Director of General Thoracic Surgery, Kure Medical Center and Chugoku Cancer Center, 3-1 Aoyama, Kure, 737-0023, Japan. yamashitay@kure-nh.go.jp.
Yoshinori
Y
Yamashita
Director of General Thoracic Surgery, Kure Medical Center and Chugoku Cancer Center, 3-1 Aoyama, Kure, 737-0023, Japan. haradah@kure-nh.go.jp.
Hiroaki
H
Harada
Department of General Thoracic Surgery, Hiroshima City Asa Hospital, Hiroshima, Japan. h-mukai@asa-hosp.city.hiroshima.jp.
Hidenori
H
Mukaida
Department of Pathology, Hiroshima City Asa Hospital, Hiroshima, Japan. ma-kane@as-hosp.city.hiroshima.jp.
Mayumi
M
Kaneko
D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008654:Mesothelioma / Q000601:surgery*; D000086002:Mesothelioma, Malignant; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010997:Pleural Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods; D049268:Positron-Emission Tomography; D012272:Ribs / Q000601:surgery; D019616:Thoracic Surgical Procedures