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  • Title: [Sarcomatous malignant mesothelioma diagnosed after death].
    Author: Okuma S, Kashara M, Kuroda M, Masushita K, Suetsugu S, Yokio T.
    Journal: Nihon Kyobu Shikkan Gakkai Zasshi; 1996 Mar; 34(3):312-6. PubMed ID: 8778471.
    Abstract:
    A 77-year-old man with diabetes mellitus who was being treated as an outpatient had abnormal shadow in the right lower lobe on a chest roentgenogram in June 1993. In July 1994, a productive cough developed, and subsequent dyspnea obliged him to enter our hospital. Retention of pleural fluid led us to suspect tuberculosis pleurisy and to perform a pleural biopsy and a thoracentesis to remove pleural fluid but no final diagnosis was reached. About 14 months later he died of dyspnea with a rapidly growing tumor. An autopsy disclosed a giant tumor that occupied the right pleural cavity, excluding the lung. The tumor was well-defined between the lung and had infiltrated into the mediastinum. The histopathological diagnosis was primary malignant mesothelioma, sarcomatous type, of the visceral pleura.
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