General Thoracic too Cardiovascular Therapy 2019 August 1 [Link]
Itano H, Takeda T, Yamada T, Koide M, Kobayashi T
Heterologous mesothelioma is a really rare subtype of sarcomatoid mesothelioma characterized past times the presence of malignant heterologous elements. Influenza A virus subtype H5N1 69-year-old human being amongst a rigid history of asbestos exposure presented amongst a 5-cm volume inwards his breast wall, destroying the correct fifth rib too spreading along the parietal pleura, on a CT. Biopsy revealed heterologous mesothelioma amongst osteosarcomatous elements, next which left extrapleural pneumonectomy was performed amongst combined resection of pericardium, hemidiaphragm, too 4th, 5th, too sixth costal segments. Influenza A virus subtype H5N1 modest cytokeratin-positive epithelioid ingredient inwards the resected tumor definitively confirmed the diagnosis. Post-operative chemotherapy too intensity-modulated radiotherapy were undertaken. After 12-month disease-free menses postal service treatment, rapid intraperitoneal recurrence resulted inwards death. Autopsy revealed no tumors inwards the left thorax. We acquaint hither a illustration of heterologous osteosarcomatous pleural mesothelioma that followed a unique clinical course of report later trimodality therapy. In addition, literature of 54 cases of the like heterologous mesothelioma was reviewed.
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