Pleural mesothelioma with cutaneous extension to chest wall scars

Sherry Shieh, Marcelle Grassi, James K Schwarz, Richard T. Cheney

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background: Cutaneous mesothelioma is rare but may occur following local surgical procedures for visceral mesothelioma or as a metastasis. Methods: A patient with pleural mesothelioma, who developed papules within chest wall scars, 14 and 15 months after pleural biopsy and thoracentesis, respectively, is reported. Results: Histopathology showed an epithelioid tumor forming tubulopapillary and glandular structures. The diagnosis of mesothelioma was confirmed with immunohistochemistry. Tumor cells stained characteristically for low-molecular-weight cytokeratins 5/6, calretinin, and vimentin and were negative for mucicarmine, carcinoembryonic antigen, thyroid transcription factor 1, prostate-specific antigen, gross cystic disease fluid protein, S-100, factor VIII, and CD31. Conclusions: Histologically, mesothelioma may resemble a primary adnexal neoplasm, metastatic adenocarcinoma, or angiosarcoma. Immunohistochemistry can clarify the diagnosis. Clinicians should be aware of the varied presentations of mesothelioma, as cutaneous presentations are becoming increasingly common.

Original languageEnglish (US)
Pages (from-to)497-501
Number of pages5
JournalJournal of Cutaneous Pathology
Volume31
Issue number7
DOIs
StatePublished - Aug 1 2004

Fingerprint

Mesothelioma
Thoracic Wall
Cicatrix
Skin
Immunohistochemistry
Keratin-6
Keratin-5
Calbindin 2
Neoplasms
Hemangiosarcoma
S100 Proteins
Carcinoembryonic Antigen
Factor VIII
Vimentin
Prostate-Specific Antigen
Adenocarcinoma
Molecular Weight
Neoplasm Metastasis
Biopsy

ASJC Scopus subject areas

  • Dermatology
  • Pathology and Forensic Medicine

Cite this

Pleural mesothelioma with cutaneous extension to chest wall scars. / Shieh, Sherry; Grassi, Marcelle; Schwarz, James K; Cheney, Richard T.

In: Journal of Cutaneous Pathology, Vol. 31, No. 7, 01.08.2004, p. 497-501.

Research output: Contribution to journalArticle

Shieh, Sherry ; Grassi, Marcelle ; Schwarz, James K ; Cheney, Richard T. / Pleural mesothelioma with cutaneous extension to chest wall scars. In: Journal of Cutaneous Pathology. 2004 ; Vol. 31, No. 7. pp. 497-501.
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