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  • Title: Mesothelioma With a Large Prevascular Lymph Node: N1 Involvement or Something Different?
    Author: Berzenji L, Van Schil PE, Snoeckx A, Hertoghs M, Carp L.
    Journal: Ann Thorac Surg; 2018 May; 105(5):e189-e191. PubMed ID: 29355487.
    Abstract:
    A 64-year-old man presented with a large amount of right-sided pleural fluid on imaging, together with calcified pleural plaques and an enlarged nodular structure in the prevascular mediastinum, presumably an enlarged lymph node. Pleural biopsies were obtained during video-assisted thoracoscopic surgery to exclude malignancy. Histopathology showed an epithelial malignant pleural mesothelioma. Induction chemotherapy with cisplatin and pemetrexed was administered followed by an extended pleurectomy and decortication with systematic nodal dissection. Histopathology confirmed the diagnosis of a ypT3N0M0 (stage IB) mesothelioma, and an unexpected thymoma type B2 (stage II) was discovered in the prevascular nodule. Simultaneous occurrence of a mesothelioma and thymoma is extremely rare.
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