一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集

Abstract

Full Text of PDF Full Text of PDF (666k)
Article in Japanese

Case Report

A case of the malignant pleural mesothelioma diagnosed by endoscopic ultrasound-guided fine-needle aspiration

Koichi Saruwataria,b,*  Fumiya Imamurab  Kaori Tsumorib  Takahiro Uratac  Seiji Fukudad  Hirotsugu Kohrogia 

aDepartment of Respiratory Medicine, Kumamoto University Hospital
bDepartment of Respiratory Medicine, Kumamoto Red Cross Hospital
cDepartment of Gastroenterology, Kumamoto Red Cross Hospital
dDepartment of Pathology, Kumamoto Red Cross Hospital

ABSTRACT

A 79-year-old man presented for back pain and dyspnea. An enhanced CT scan showed mediastinal mass attaching the esophagus and descending aorta with bilateral pleural effusion. The pleural effusion showed an elevation of hyaluronic acid and an atypical class V cell. We performed an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for a mediastinal mass. A histopathological examination showed large atypical epithelial cells and immunohistochemically positive for carletinin and D2-40, but negative for thyroid tissue factor-1 (TTF-1) and CEA. Therefore we diagnosed it as epithelioid malignant mesothelioma. The patient underwent pleurodesis and was then administered with carboplatin+pemetrexed, and the tumor size was reduced. EUS-FNA was a useful procedure for definitive diagnosis for malignant pleural mesothelioma situated along the esophagus and aorta.

KEYWORDS

Malignant pleural mesothelioma  Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) 

Received 29 Mar 2013 / Accepted 2 Sep 2013

AJRS, 3(1): 65-69, 2014

Google Scholar