Tuberc Respir Dis.  1986 Dec;33(4):258-262. 10.4046/trd.1986.33.4.258.

A Case Report Malignant Mesothelima Diagnosed in the Early Stage by Thoracoscopic Biopsy

• KMID: 2528689
• DOI: http://doi.org/10.4046/trd.1986.33.4.258

Abstract

Approximately 3,000 ml of sanguinous pleural fluid was aspirated, and a percutaneous pleural biopsy was performed. The pathology report, including pleural fiuid cytology and the pleural biopsy, indicated and stypical mesothelial cell hyperplasia. For further svaluation, a thoracoscopy was right middle and lower lobes. This was more pronounced around the interlobar fissure between the middle and lower lobe. Several biopsies were done, and an epithelial type of malignant mesothelioma was confirmed histopathologically. In this case, the malignant mesothelioma could be diagnosed with a thoracoscopic biopsy in an early stage, when the lesion was localized in the partial visceral pleura, prior to its spreading to the entire viscaral pleura and parietal pleura. With this procedure, we could avoid an open-lung biopsy. Thoracoscopy is an easy and simple prodedure for the early diagnosis of pleural disease