title: Multiple distant metastases in a case of malignant pleural mesothelioma.
abstract: BACKGROUND
  Malignant pleural mesothelioma (MPM) is a malignant of mesodermal neoplasm and arises from multipotential mesothelial or subserosal cells of the pleura, pericardium and peritoneum.
  
  
  METHODS
  A seventy five year-old male patient was admitted with chest and lower limb pain. He was a heavy smoker and exposed to environmental asbestos in his childhood. PET-CT scans showed multiple pathological FDG uptakes in lungs and other organs. Biopsies performed from lung and anterior thigh muscles were reported as epitheloid type malignant pleural mesothelioma.
  
  
  CONCLUSIONS
  We emphasize that unexpected distant metastases can be observed in MPM and occasionally primary diagnosis can be determined by the biopsy of the metastatic regions. This case also points out the role of PET-CT in the staging of malign mesothelioma by determining different metastatic sites.
authors.affiliation: Pulmonary Diseases, Dokuz Eylul University Medical Faculty, Izmir, Turkey.
authors.forename: Kemal Can
authors.initials: KC
authors.lastname: Tertemiz
authors.affiliation: Pulmonary Diseases, Dokuz Eylul University Medical Faculty, Izmir, Turkey.
authors.forename: Aylin
authors.initials: A
authors.lastname: Ozgen Alpaydin
authors.affiliation: Pathology, Dokuz Eylul University Medical Faculty, Izmir, Turkey.
authors.forename: Duygu
authors.initials: D
authors.lastname: Gurel
authors.affiliation: Nuclear Medicine, Dokuz Eylul University Medical Faculty, Izmir, Turkey.
authors.forename: Recep
authors.initials: R
authors.lastname: Savas
authors.affiliation: Radiology, Dokuz Eylul University Medical Faculty, Izmir, Turkey.
authors.forename: Aytac
authors.initials: A
authors.lastname: Gulcu
authors.affiliation: Pulmonary Diseases, Dokuz Eylul University Medical Faculty, Izmir, Turkey.
authors.forename: Atila
authors.initials: A
authors.lastname: Akkoclu
keywords: Malignant pleural mesothelioma; Metastases; PET-CT