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KMID : 1214920110170020164
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Soonchunhyang Medical Science
2011 Volume.17 No. 2 p.164 ~ p.167
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A Case of Desmoplastic Malignant Mesothelioma
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Park Sang-Woo
Oh In-Jae
Kim Young-Chul
Song Sang-Yun
Yoon Mee-Sun
Choi Song
Choi Yoo-Duk
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Abstract
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Malignant mesothelioma (MM) is a rare tumor that associated with asbestos exposure. For the reliable diagnosis, the adequate representative tissue samples are essential for the histology and immunohistochemical staining. We report a case of desmoplastic malignant mesothelioma (DMM), accounting for only 5 to 10% of all MM and having poor prognosis. A 76-year-old male visited emergency room presenting with chest pain. Chest computed tomography showed focal lobulated pleural enhancing mass in posterior aspect of left upper lobe. After video-assisted thoracoscopic surgery and several immunohistochemical stains, we could diagnose as DMM. The patient refused chemotherapy, but received analgesics and palliative radiation for the painful back area. Subsequently, he was transferred to hospice clinic after 17 months from appearance of the initial symptom.
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KEYWORD
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Mesothelioma, Immunohistochemistry, General surgery
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