![](/static/media/logo.jpg)
An International Publisher for Academic and Scientific Journals
Author Login
Scholars Journal of Medical Case Reports | Volume-2 | Issue-08
Papillary Mesothelioma of Pleura: Case Report
Sandip Patel, Ashwin Rajbhoj, Kulbhushan Marathe, Tanmai Yermal, Amit Thopte, M.A Ghanekar
Published: Aug. 28, 2014 |
129
97
DOI: 10.36347/sjmcr.2014.v02i08.005
Pages: 518-520
Downloads
Abstract
Papillary mesothelioma of pleura is a rarely observed well-differentiated subtype of epithelial mesothelioma
which is a less aggressive, slow growing cancer that does not typically metastasize (spread) to other parts of the body.
We report a 55 year old male, farmer by occupation, presented with complaints of breathlessness, cough with
expectoration, left-sided chest pain and generalized weakness for 3 months with no history of asbestos exposure nor any
lung disease in family. On systemic examination there was restricted chest wall movement on left side with left side
bulging of chest, there was decreased breath sounds and presence of stony dullness. Chest X-ray and CT chest revealed
left-sided massive pleural effusion. Thoracoscopy guided pleural biopsy was taken which confirmed the diagnosis of
papillary mesothelioma.Papillary mesothelioma is well described in the literature, with most reported cases arising from
the peritoneum in women of reproductive age. Although less common, doctors have found papillary mesothelioma
growth on several of the body’s protective membranes, including the linings of the lungs (pleura), heart (pericardium)
and testicles (tunica vaginalis). Unlike malignant mesotheliomas, which are typically associated with asbestos exposure,
there is no conclusive evidence linking papillary mesothelioma to asbestos exposure. We conclude that papillary
mesothelioma is a rare and unusual mesothelial tumor, characterized by a no evident linkage with asbestos exposure, lack
of deep invasion and associated with an indolent clinical course, better prognosis with absence of metastasis and long
survival.