A Case of Epithelial-type Diffuse Malignant Pleural Mesothelioma Who Survived with Chemotherapy for 7 Years

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  • 化学療法主体で７年間生存している上皮型びまん性悪性胸膜中皮腫の１例

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Background. Diffuse malignant pleural mesothelioma (MPM) has a poor prognosis and there is no consensus on standard therapy. Furthermore, it is difficult to make a definitive diagnosis of MPM. In the present case, chemotherapy was performed after diagnosis by thoracoscopic biopsy. Six years after diagnosis extra-pleural pneumonectomy was performed. Case. A 54-year-old man had pleural effusion pointed out in a medical examination in early, 2001. MPM was diagnosed by pleural needle biopsy at another hospital. However, a diagnosis of MPM was not confirmed by another physician, and the patient was referred to our hospital in 2002. We performed thoracoscopic pleural biopsy in March, 2003, which resulted in a diagnosis of epithelial-type MPM (T1bN0M0 stage IB). We administered chemotherapy, after which we performed extra-pleural pneumonectomy. We confirmed recurrence by additional examination in the postoperative first year, but he is still alive at the time of writing. Conclusion. In order to obtain long-term survival by chemotherapy in such cases, careful consideration of the possibility of early-stage MPM is essential.<br>

Journal

  • Haigan

    Haigan 50 (7), 926-931, 2010

    The Japan Lung Cancer Society

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