Surgery Today. 2005;35(9):782-4. [Link]
Shinya Ito1, Noritaka Isowa2, Mio Li1, Seiki Hasegawa1 and Hiromi Wada1
(1) Department of Thoracic Surgery, Graduate School of Medicine, Kyoto University, 54 Shogoinkawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan (2) Department of Thoracic Surgery, Matsue Red Cross Hospital, Shimane, Japan
We report a case of malignant peritoneal mesothelioma with parasternal lymph node metastasis. The patient was a 34-year-old man who presented with a history of several years of abdominal pain and ascites of unknown origin. Exploratory laparoscopic biopsies yielded histological findings of malignancy, but a final diagnosis was not able to be made. A chest computed tomographic scan done the following year showed a parasternal nodule, and thoracoscopically obtained biopsied material was positive for calretinin. These findings led to a pathological diagnosis of metastasis to the parasternal lymph node from peritoneal mesothelioma.