A Case of Panpleuropneumonectomy for Malignant Pleural Mesothelioma.

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A 52-year-old man was admitted with chest pain. Chest X-ray showed a pleural tumor in the left intrathoracic space. It was diagnosed as sarcomatous mesothelioma by biopsy. During admission, this tumor enlarged rapidly, and pleural effusion increased. Combination chemotherapy consisting of cisplatin and vindesine was performed. After chemical pleurodesis and systemic chemotherapy, pleural effusion disappeared and the growth of tumor was halted. The patient underwent panpleuropneumonectomy with combined resection of adjacent structures such as the diaphragm and the chest wall. After the operation, radiotherapy (63Gy) was performed. Twelve months after the operation, there is no evidence of tumor recurrence. Combination therapy was effective in this case.
特定非営利活動法人日本肺癌学会の論文