Parasternal Lymph Node Metastasis of Malignant Peritoneal Mesothelioma: Report of a Case

• DOI: 10.1007/s00595-005-2991-x
• Publication Date: 2005-08-19T05:05:49Z
• Authors: Shinya Ito; Noritaka Isowa; Mio Li; Seiki Hasegawa; Hiromi Wada
• Keywords: Adult; Male; Mesothelioma; Thoracoscopy; 3. Good health; Diagnosis, Differential; 03 medical and health sciences; 0302 clinical medicine; Lymphatic Metastasis; Humans; Laparoscopy; Tomography, X-Ray Computed; Peritoneal Neoplasms

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.