Asano Michiko, Gemba Kenichi, Fujimoto Nobukazu, Nishi Hideyuki, Taguchi Koji, Kishimoto Takumi
Department of Respiratory Medicine, Okayama Rosai Hospital.
Nihon Kokyuki Gakkai Zasshi. 2011 Dec;49(12):986-9.
A 62-year-old man with left chest pain had left pleural effusion pointed out on a chest radiograph. Chest CT scans showed multiple nodules on the left parietal pleura and pleural effusion. He was referred to our hospital and we performed thoracoscopic examination. Malignant pleural mesothelioma (biphasic type) was diagnosed, based on the pathological findings of a parietal nodular mass, including immunohistological analysis. Chemotherapy using carboplatin and pemetrexed reduced the size of tumor and left pleural effusion. This is a rare case with atypical CT findings of malignant pleural mesothelioma.
一名62岁男性因左侧胸痛就诊，胸部X线片显示左侧胸腔积液。胸部CT扫描显示左侧壁层胸膜多发结节及胸腔积液。他被转诊至我院，我们进行了胸腔镜检查。根据壁层结节肿块的病理结果，包括免疫组织学分析，诊断为恶性胸膜间皮瘤（双向型）。使用卡铂和培美曲塞的化疗缩小了肿瘤大小并减少了左侧胸腔积液。这是一例具有非典型CT表现的恶性胸膜间皮瘤罕见病例。
