US EPA

383695 

Journal Article 

Minute localized malignant pleural mesothelioma coexisting with multiple adenocarcinomas 

Maeda, R; Isowa, N; Onuma, H; Miura, H; Tokuyasu, H; Kawasaki, Y 

2010 

Yes 

General Thoracic and Cardiovascular Surgery
ISSN: 1863-6705
EISSN: 1863-6713 

58 

2 

91-94 

English 

20155346 

10.1007/s11748-009-0466-5 

We report an extremely rare case of minute localized malignant pleural mesothelioma (LMPM) coexisting with multiple lung adenocarcinomas in a 64-year-old woman without a history of smoking or asbestos exposure. A computed tomography scan of the chest displayed total five ground-glass opacities in the lung. Transbronchial lung biopsy from a ground-glass opacity in the posterior segment revealed a bronchioloalveolar carcinoma. With a diagnosis of primary lung cancer, right upper lobectomy and wedge resection of the right lower lobe with systematic lymph node dissection was performed using video-assisted thoracoscopic surgery. Incidentally, a minute gray-white nodule measuring 6 mm was detected on the visceral pleural surface of the right upper lobe. The postoperative histological diagnosis was minute LMPM coexisting with multiple adenocarcinomas.