Journal of the Formosan Medical Association
Volume 107, Issue 12 , Pages 961-964, December 2008

Duodenal Metastasis of Malignant Pleural Mesothelioma

  • Huang-Chi Chen

      Affiliations

    • Division of Chest Medicine, Department of Internal Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Kun-Bow Tsai

      Affiliations

    • Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Chuan-Sheng Wang

      Affiliations

    • Division of Chest Medicine, Department of Internal Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Tsyh-Jyi Hsieh

      Affiliations

    • Department of Medical Imaging, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Jui-Sheng Hsu

      Affiliations

    • Department of Medical Imaging, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Jui-Sheng Hsu, Graduate Institute of Medicine, College of Medicine, Kaohsiung Medical University, 100 Shih-Chuan 1st Road, Kaohsiung 807, Taiwan

Received 25 July 2007; received in revised form 23 August 2007; accepted 2 October 2007.

Metastatic malignant mesothelioma of the pleura is uncommon at the time of initial diagnosis. The gastrointestinal lumen is rarely found at autopsy in patients with widespread disease. Here, we describe an extremely rare case of isolated duodenal metastasis of sarcomatoid mesothelioma of the pleura in a 73-year-old man, without memory of any direct exposure to asbestos. The possibility of gastrointestinal tract metastasis should be considered in the presence of anemia or positive occult blood test in patients with malignant pleural mesothelioma.

Key Words:  duodenum , mesothelioma , metastasis , pleura , sarcomatoid

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PII: S0929-6646(09)60021-8

doi:10.1016/S0929-6646(09)60021-8

Journal of the Formosan Medical Association
Volume 107, Issue 12 , Pages 961-964, December 2008

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