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K.C. Tertemiz



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    P3.24 - Poster Session 3 - Supportive Care (ID 160)

    • Event: WCLC 2013
    • Type: Poster Session
    • Track: Supportive Care
    • Presentations: 1
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      P3.24-050 - Multiple Distant Metastases In A Case Of Malignant Pleural Mesotelioma (ID 3279)

      09:30 - 09:30  |  Author(s): K.C. Tertemiz

      • Abstract

      Background
      Distant metastases of MPM to the skeletal muscle, endocardium and skin have not been reported previously.

      Methods
      A 75 year-old male admitted to our pulmonary diseases clinic with chest and lower limb pain. He was a heavy smoker and exposed to asbestos in his childhood. Respiratory system was normal in physical examination. The thigh muscles were observed to be thick and hard and palpation was painful. There were few nodular lesions on the scalp which he reported to appear 2 months ago as well as the accompanying femoral thickening.

      Results
      Chest X-ray showed upper mediastinal enlargement and a mass in left superior lobe. Thorax CT revealed a pleural mass in the left apical region, left hilar lymphadenopathy and pleural thickening. Pathological FDG uptakes were observed over the right paraspinal muscle (C6), posterior scalp, paratracheal and left hilar lymp nodes, left apical mass, left pleura in lower and middle zone, left diaphragma, anterior pericardium, interventricular septum, left axilla, right 4. costochondral region, liver segment 8, right paraspinal muscle in L3 level, right abdominal oblic muscles, bilateral gluteal muscles and bilateral muscles in femoral region. Tru-cut biopsy was performed from the left apical mass and the diagnose was epitheloid type malignant pleural mesothelioma. A second biopsy was performed from anterior thigh muscles. The morphologic pattern was the same with the biopsy taken from lungs

      Conclusion
      Metastases of a MPM are very rare. We are presenting this case for the skeletal muscle metastasis defined for the first time.