Pleuropulmonary blastoma in an adult women with pleurorrhea as the major clinical manifestation: report of a case.
- Author:
Ai-hua LIU
1
;
Wei-yang ZHENG
;
Lei WU
Author Information
1. Department of Respiratory Disease, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China. lah47158yahoo.com.cn
- Publication Type:Case Reports
- MeSH:
Adult;
Diagnosis, Differential;
Female;
Humans;
Lung Neoplasms;
diagnosis;
pathology;
surgery;
Pleural Effusion;
diagnosis;
etiology;
Pulmonary Blastoma;
diagnosis;
pathology;
surgery;
Tomography, X-Ray Computed
- From:
Journal of Southern Medical University
2008;28(12):2241-2243
- CountryChina
- Language:Chinese
-
Abstract:
Pleuropulmonary blastoma (PPB) is a rare dysontogenetic neoplasm in children and has been recognized as a distinct clinicopathological entity different from the ordinary pulmonary blastoma of adulthood. We report a very rare adult case of PPB. A 43-year-old female patient presented with massive pleural infusion, and a misdiagnosis of pleural tuberculosis (TB) was made on the basis of ultrasound scan and CT images, for which therapy with TB drugs was administered for 3 weeks. Subsequent operation and pathologic examination of the mass revealed a multicystic neoplasm consisting of malignant mesenchymal cells immunohistochemically positive for vimentin and actin. Local recurrence occurred in the left pleural 20 months after the surgical tumor resection and 4 cycles of adjuvant chemotherapy.
