EurekaMag.com logo
+ Site Statistics
References:
52,725,316
Abstracts:
28,411,598
+ Search Articles
+ Subscribe to Site Feeds
EurekaMag Most Shared ContentMost Shared
EurekaMag PDF Full Text ContentPDF Full Text
+ PDF Full Text
Request PDF Full TextRequest PDF Full Text
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter
Follow on Google+Follow on Google+
Follow on LinkedInFollow on LinkedIn

+ Translate

Extended pleuropneumonectomy for malignant mesothelioma a case report


Journal of the Japanese Association for Thoracic Surgery 36(3): 429-434
Extended pleuropneumonectomy for malignant mesothelioma a case report
A 51-year-old man underwent thoractomy under a diagnosis of unclassified malignant tumor of the left upper lobe. The tumor which located adjacent to the visceral pleura in the lung parenchyma was confirmed as mixed type, malignant mesothelioma by intraoperative cytodiagnosis. Simultaneously, many small lesions looked like metastases or multicentric origin were observed on the pleural surface. Therefore, the operation was resulted in palliative resection. Subsequently, the residual tumors gradually enlarged CT scan showed invasion of tumors into the chest wall, diaphragm and pericardium. Because of pain and hemoptysis, performance with extremely deteriorated. Therefore, we attempted to extended pleuropneumonectomy combined with resection of those surrounding structures 2 years after the initial operation. As a result of the en bloc resection, this patient is alive without recurrence for 3 years after the initial operation. The clinical course suggests that extended pleuropneumonectomy for removal of invasive mesothelioma can be accomplished safely and without major complication. When possible, this procedure appears to carry the best palliation or the only opportunity for cure.


Accession: 005432646



Related references

Extended pleuropneumonectomy in malignant mesothelioma--a case report. Nihon Kyobu Geka Gakkai 36(3): 429-434, 1988

Extended pleuropneumonectomy in diffuse malignant mesothelioma of the pleura. Archivio Monaldi Per la Tisiologia E le Malattie Dell'apparato Respiratorio 37(5-6): 319-326, 1982

A case of diffuse pleural malignant mesothelioma treated with pleuropneumonectomy. Japanese Journal of Chest Diseases 47(5): 444-449, 1988

A case of diffuse malignant mesothelioma with pleuropneumonectomy resection and reconstruction of the diaphragm. Journal of Tokyo Women's Medical College 61(4): 337-342, 1991

What is the role of pleuropneumonectomy in malignant pleural mesothelioma?. Nihon Geka Gakkai Zasshi 110(6): 343-347, 2010

Pleuropneumonectomy in the treatment of malignant pleural mesothelioma. Chest 116(6 Suppl): 450s-454s, 2000

Extended extrapleural pneumonectomy by median approach for advanced malignant mesothelioma with right supraclavicular lymph node metastasis--a case report. Nihon Kyobu Geka Gakkai 42(3): 404-408, 1994

Pleuropneumonectomy in malignant thymoma with pleural dissemination--a case report. Nihon Kyobu Geka Gakkai 36(1): 99-103, 1988

Pleuropneumonectomy for malignant thymoma with pleural dissemination a case report. Journal of the Japanese Association for Thoracic Surgery 36(1): 99-103, 1988

Pleuropneumonectomy: an effective treatment modality for malignant pleural mesothelioma?. Annals of Thoracic and Cardiovascular Surgery 14(3): 135-137, 2008