Phrenic Nerve Paralysis as the Initial Presentation in Pleural Sarcomatoid Mesothelioma

Autor: Go Makimoto, Keiichi Fujiwara, Nobukazu Fujimoto, Ichiro Yamadori, Toshio Sato, Takumi Kishimoto
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Zdroj: Case Reports in Oncology, Vol 7, Iss 2, Pp 389-392 (2014)
Druh dokumentu: article
ISSN: 1662-6575
DOI: 10.1159/000363760
Popis: A 74-year-old man was referred to our hospital because of persistent cough. A chest radiograph revealed an elevation of the right diaphragm. Computed tomography (CT) images revealed a small nodule localized on the right mediastinum. Five months later, the nodule had grown and was diagnosed as malignant pleural mesothelioma (MPM) by a CT-guided needle biopsy. The patient underwent combined chemotherapy, but the disease progressed rapidly and he passed away. On autopsy, microscopic findings and immunohistological examinations supported the diagnosis of sarcomatoid mesothelioma. Therefore, we diagnosed this rare case as localized sarcomatoid MPM showing phrenic nerve paralysis as an initial presentation.
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