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Mesothelioma
Treatment
Articles
and Abstracts
Malignant
mesothelioma presenting as pulmonary
metastasis ahead of growth of primary
tumour
Respirology
1999 Sep;4(3):279-81
Heki
U, Fujimura M, Kasahara K, Matsubara F,
Matsuda T
Third
Department of Internal Medicine, Kanazawa
University School of Medicine,
Japan.
A
59-year-old woman was admitted to Houju
Memorial Hospital, Ishikawa, Japan,
because of cough and fever on 30 March
1997. A diagnosis of pneumonia was made
and she was given antibiotics. Her
symptoms improved but failed to resolve
completely on antibiotic therapy. On 9
September 1997, she revisited the hospital
because of bodyweight loss and malaise.
There was no history of exposure to
asbestos. The chest roentgenogram revealed
infiltrative shadows with vague and
indistinct margins suggesting inflammatory
processes, which were more extensive than
those investigated on her last visit. One
month later, a giant tumour was detected
rapidly growing from the mediastinum and
open biopsy was performed. The
histological examination confirmed that
the tumour was a malignant mesothelioma
and the intrapulmonary nodules were its
metastases. This is a rare case of
pulmonary metastasis being present for
several months before an appearance of
primary mesothelioma.
PMID:
10489674
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