A localized malignant mesothelioma of the visceral pleura treated with minimal resection of the lung

Ufuk Yılmaz,

doi:10.5606/tgkdc.dergisi.2012.030

Ufuk Yılmaz¹, Soner Gürsoy², İpek Ünsal¹, Ahmet Üçvet², Ceyda Anar¹, Nur Yücel³

¹Department of Chest Diseases, Dr. Suat Seren Chest Diseases and Chest Surgery, Training and Research Hospital, İzmir
²Department of Thoracic Surgery, Dr. Suat Seren Chest Diseases and Chest Surgery, Training and Research Hospital, İzmir
³Department of Pathology, Dr. Suat Seren Chest Diseases and Chest Surgery, Training and Research Hospital, İzmir

DOI : 10.5606/tgkdc.dergisi.2012.030

Localized pleural malignant mesothelioma (LPMM) is an extremely rare, solitary, and well-circumscribed tumor arising from the pleura. A well-circumscribed mass image in the left hemithorax was detected on the thorax computed tomography of a 55-year-old-female who was admitted with back pain. At the left thoracotomy, a well-circumscribed 4x6 cm mass attached by a pedunculus to the underlying visceral pleura was detected in the upper area of the major fissure. The tumor was completely removed by wedge resection of the lower lobe to which it was attached with a pedunculus of 1 cm in length. The mass was immunohistochemically diagnosed as localized malignant mesothelioma of the pleura (epithelial type). Pedunculated LPMMs arising from the visceral pleura can be seen as a well-circumscribed mass and are completely removable with a limited resection of the lung.

Keywords : Localized; mesothelioma; pleura; surgery

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