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Malignant pleural mesothelioma initially diagnosed on cervical lymph node biopsy
Author(s) -
Ogata Sho,
Hiroi Sadayuki,
Tominaga Akira,
Aida Shinsuke,
Kobayashi Ayako,
Tamura Katsumi,
Abe Yoshiyuki,
Kawai Toshiaki
Publication year - 2009
Publication title -
pathology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.73
H-Index - 74
eISSN - 1440-1827
pISSN - 1320-5463
DOI - 10.1111/j.1440-1827.2009.02412.x
Subject(s) - medicine , mesothelioma , lymph node biopsy , radiology , biopsy , differential diagnosis , pleural effusion , lymph node , positron emission tomography , asbestos , pathology , lymph node metastasis , metastasis , cancer , metallurgy , materials science
Reported herein is a case of malignant pleural mesothelioma, initially diagnosed on cervical lymph node biopsy. A 58‐year‐old man, without obvious evidence of asbestos exposure, exhibited repeated pleural effusion (cause unclear), which was resolved by diuretics. A neck mass was apparent and was identified pathologically as a lymph node metastasis of malignant mesothelioma. F‐18 fluorodeoxyglucose positron emission tomography/CT established the diagnosis of malignant pleural mesothelioma. Two conclusions emerge from this report: (i) cervical lymph node metastasis of pleural mesothelioma, although rare, should be included in differential diagnosis; and (ii) positron emission tomography/CT is useful for establishing a diagnosis of mesothelioma.