Malignant Pleural Mesothelioma with Bone Marrow Metastases.

Abstract

A 64-year-old man with the bone marrow metastasis due to malignant pleural mesothelioma (MPM) was diagnosed with anemia, leukoerythroblastosis, thrombocytopenia, and lower back pain. A bone marrow biopsy demonstrated infiltrative malignant mesothelioma lesions in the bone marrow. The patient died within 15 days of the detection of the bone marrow involvement. Physicians should consider performing a bone marrow biopsy to diagnose bone marrow metastasis and treat patients with palliative chemotherapy at an earlier phase of the disease. To our knowledge, this is the first report of an MPM patient having bone marrow metastasis with anemia, leukoerythroblastosis, and thrombocytopenia.

• Authors: Hiroaki Ihara, Norihiro Harada, Naoko Shimada, Koichiro Kanamori, Takuo Hayashi, Toshimasa Uekusa, Kazuhisa Takahashi
• Journal: Internal medicine (Tokyo, Japan) (Intern Med) Vol. 57 Issue 17 Pg. 2541-2545 (Sep 01 2018) ISSN: 1349-7235 [Electronic] Japan
• PMID: 29607973 (Publication Type: Case Reports, Journal Article)

Topics

• Biopsy
• Bone Neoplasms (secondary)
• Humans
• Low Back Pain (etiology)
• Male
• Mesothelioma (complications, diagnosis, pathology)
• Middle Aged
• Pleural Neoplasms (complications, diagnosis, pathology)