Autopsy case of sarcomatoid malignant pleural mesothelioma

Hiromi Ogura, Katsuhiko Naoki, Ikuko Togashi, Hiroshi Kunikane, Hiroaki Okamoto, Naoya Hida, Yuusuke Narita, Masahiro Kase, Hiroshi Oosawa, Takahiro Oomori, Koshiro Watanabe

Research output: Contribution to journalArticle

Abstract

A 61-year-old man with a sensation of chest compression was admitted to our hospital. He had hemothorax. After drainage with a chest tube, chest CT scan revealed multiple bilateral pulmonary nodules with slight pleural thickening. Open pleural biopsy was performed and the biopsy specimens showed tumor cells with sarcomatoid proliferation, but no definite epithelial pattern. Initial immunohistochemical staining was negative for keratin and carletinin, but positive for desmin, suggesting rhabdomyosarcoma. After supportive care, he died due to progression of the disease. Autopsy revealed extensive invasion suggesting mesothelioma, so the immunohistochemical staining was repeated. Because it revealed patchy staining for keratin and carletinin, this case was diagnosed as sarcomatoid mesothelioma. Differential diagnosis of sarcomatoid mesothelioma or rhabdomyosarcoma is made by immunohistochemical staining, but it is sometimes difficult. For the selection of the best treatment strategy for mesothelioma especially in the early stage, we should be aware of this difficulty.

Original languageEnglish
Pages (from-to)689-694
Number of pages6
JournalNihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society
Volume44
Issue number10
Publication statusPublished - 2006 Oct

ASJC Scopus subject areas

  • Medicine(all)

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    Ogura, H., Naoki, K., Togashi, I., Kunikane, H., Okamoto, H., Hida, N., Narita, Y., Kase, M., Oosawa, H., Oomori, T., & Watanabe, K. (2006). Autopsy case of sarcomatoid malignant pleural mesothelioma. Nihon Kokyūki Gakkai zasshi = the journal of the Japanese Respiratory Society, 44(10), 689-694.