2009 Volume 23 Issue 7 Pages 986-991
A 69-year-old man complaining of a cough showed left pleural effusion with high hyaluronic acid levels. Percutaneous biopsy of the left pleura demonstrated epithelioid-type malignant pleural mesothelioma. He showed nephrotic syndrome at the same time. Extrapleural pneumonectomy was performed without the improvement of nephrotic syndrome, in spite of the intravenous administration of albumin. The levels of serum protein and albumin improved 70 days after surgery. Pathological examination showed epithelioid-type malignant pleural mesothelioma (p-T3N2M0 stage III). We report a case of malignant pleural mesothelioma, in which concomitant nephrotic syndrome improved after extrapleural pneumonectomy.
