Yamaki Minoru, Noriyuki Toshio, Takei Daisuke, Takemoto Yuki, Saito Ryusuke, Yonehara Syuji
Department of General Thoracic Surgery, JA Onomichi General Hospital, Onomichi, Japan.
Kyobu Geka. 2015 Nov;68(11):941-3.
A 63-year-old male underwent biopsy of a mediastinal lymph node. Intra-operative frozen section diagnosis was metastatic mesothelioma. The primary site of mesothelioma was not detected in the thoracic cavity. One year later, he was again removed a mediastinal lymph node metastasis, but the primary site was not detected. Eight months later, he was performed right neck and mediastinal lymph node dissection due to additionally appeared lymph node metastases, but the primary site was not detected. He is well 6 months after last surgery with postoperative adjuvant chemotherapy.
一名63岁男性接受了纵隔淋巴结活检。术中冰冻切片诊断为转移性间皮瘤。在胸腔内未检测到间皮瘤的原发部位。一年后，他再次切除了纵隔淋巴结转移灶，但仍未检测到原发部位。八个月后，由于出现了额外的淋巴结转移，他接受了右颈部和纵隔淋巴结清扫术，但原发部位仍未检测到。在最后一次手术后接受辅助化疗6个月，他情况良好。
