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  • Title: Malignant pleural mesothelioma initially diagnosed on cervical lymph node biopsy.
    Author: Ogata S, Hiroi S, Tominaga A, Aida S, Kobayashi A, Tamura K, Abe Y, Kawai T.
    Journal: Pathol Int; 2009 Aug; 59(8):592-4. PubMed ID: 19627545.
    Abstract:
    Reported herein is a case of malignant pleural mesothelioma, initially diagnosed on cervical lymph node biopsy. A 58-year-old man, without obvious evidence of asbestos exposure, exhibited repeated pleural effusion (cause unclear), which was resolved by diuretics. A neck mass was apparent and was identified pathologically as a lymph node metastasis of malignant mesothelioma. F-18 fluorodeoxyglucose positron emission tomography/CT established the diagnosis of malignant pleural mesothelioma. Two conclusions emerge from this report: (i) cervical lymph node metastasis of pleural mesothelioma, although rare, should be included in differential diagnosis; and (ii) positron emission tomography/CT is useful for establishing a diagnosis of mesothelioma.
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