Kaohsiung Journal of Medical Sciences
Volume 25, Issue 7 , Pages 395-400, July 2009

Isolated Pancreatic Metastasis of a Malignant Pleural Mesothelioma

  • Yi-Ting Lin

      Affiliations

    • Department of Family Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Bing-Shiun Wu

      Affiliations

    • Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Sheau-Fang Yang

      Affiliations

    • Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Huang-Chi Chen

      Affiliations

    • Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Huang-Chi Chen, Department of Internal Medicine, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, 482 San-Ming Road, Kaohsiung 812, Taiwan

Received 14 January 2009; accepted 3 March 2009.

Metastatic malignant mesothelioma of the pleura is uncommon at the time of initial diagnosis. When metastases are present, the major sites always include regional lymph nodes, the contralateral lung, liver, adrenal glands and kidneys. Here, we describe an extremely rare case of isolated pancreatic metastasis of mesothelioma of the pleura in a 40-year-old man who initially presented with epigastric discomfort and hunger pain, which were refractory to medical treatments. The possibility of pancreatic metastatic lesion should be considered in patients with malignant pleural mesothelioma in the presence of refractory epigastric tenderness.

Key Words:  abdominal pain , mesothelioma , metastasis , pancreas , pleura

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PII: S1607-551X(09)70533-9

doi:10.1016/S1607-551X(09)70533-9

Kaohsiung Journal of Medical Sciences
Volume 25, Issue 7 , Pages 395-400, July 2009

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