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Mitsui A, Saji H, Shimmyo T, et al. Malignant pleural mesothelioma presenting as a spontaneous pneumothorax. Respirol Case Rep. 2014;3(1):9-12doi: 10.1002/rcr2.84.
Mitsui, A., Saji, H., Shimmyo, T., Mochizuki, A., Kurimoto, N., & Nakamura, H. (2015). Malignant pleural mesothelioma presenting as a spontaneous pneumothorax. Respirology case reports, 3(1), 9-12. https://doi.org/10.1002/rcr2.84
Mitsui, Ai, et al. "Malignant pleural mesothelioma presenting as a spontaneous pneumothorax." Respirology case reports vol. 3,1 (2015): 9-12. doi: https://doi.org/10.1002/rcr2.84
Mitsui A, Saji H, Shimmyo T, Mochizuki A, Kurimoto N, Nakamura H. Malignant pleural mesothelioma presenting as a spontaneous pneumothorax. Respirol Case Rep. 2015 Mar;3(1):9-12. doi: 10.1002/rcr2.84. Epub 2014 Dec 06. PMID: 25802741; PMCID: PMC4364789.
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Respirol Case Rep. 2015 Mar;3(1):9-12. doi: 10.1002/rcr2.84. Epub 2014 Dec 06.

Malignant pleural mesothelioma presenting as a spontaneous pneumothorax.

Respirology case reports

Ai Mitsui, Hisashi Saji, Takuo Shimmyo, Atsushi Mochizuki, Noriaki Kurimoto, Haruhiko Nakamura

Affiliations

  1. Department of Chest Surgery, St. Marianna University School of Medicine Kawasaki, Kanagawa, Japan.

PMID: 25802741 PMCID: PMC4364789 DOI: 10.1002/rcr2.84

Abstract

Malignant pleural mesothelioma (MPM) is thought to arise from the mesothelial cells that line the pleural cavities. Most patients initially experience the insidious onset of chest pain or shortness of breath and have a history of asbestos exposure. MPM rarely presents as spontaneous pneumothorax. We report two male patients who presented with a spontaneous hydropneumothorax. One was exposed to asbestos and the other was not. Computed tomography showed tiny nodules with pleural thickness. They both underwent pleural effusion cytology and/or pleural biopsy. Therefore, the pathological diagnosis of MPM was obtained in both cases. We also reviewed 16 Japanese MPM cases with pneumothorax including our two patients. More than half of the patients suffered from pneumothorax repeatedly. We emphasize the need to obtain a pathological diagnosis of pleural effusion cytology and/or pleural biopsy in older patients presenting with a spontaneous hydropneumothorax.

Keywords: Malignant pleural mesothelioma; pleural biopsy; pneumothorax

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