Multiple distant metastases in a case of malignant pleural mesothelioma


TERTEMİZ K. C., ÖZGEN ALPAYDIN A., GÜREL D., Savas R., GÜLCÜ A., Akkoclu A.

Respiratory Medicine Case Reports, vol.13, pp.16-18, 2014 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 13
  • Publication Date: 2014
  • Doi Number: 10.1016/j.rmcr.2014.07.003
  • Journal Name: Respiratory Medicine Case Reports
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.16-18
  • Keywords: Malignant pleural mesothelioma, Metastases, PET-CT
  • Dokuz Eylül University Affiliated: Yes

Abstract

Introduction: Malignant pleural mesothelioma (MPM) is a malignant of mesodermal neoplasm and arises from multipotential mesothelial or subserosal cells of the pleura, pericardium and peritoneum. Case: 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. Discussion: 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. © 2014 The Authors.