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Year : 2015  |  Volume : 11  |  Issue : 3  |  Page : 670

Paraneoplastic nephritic syndrome and concurrent solitary mediastinal lymph node metastasis from mesothelioma of testis diagnosed by endobronchial ultrasound: Unusual manifestations of an extremely rare tumor

1 Interventional Bronchoscopy Unit, "Ygeia" Hospital, Athens, Greece
2 Department of Pneumonology and Interventional Bronchoscopy, Army General Hospital of Athens, Athens, Greece

Correspondence Address:
Stamatis Katsenos
Department of Pneumonology and Interventional Bronchoscopy, Army General Hospital of Athens, 158 Mesogion and Katehaki Avenue, 115 25 Athens
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1482.146104

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Malignant mesothelioma is most commonly found in the pleura, peritoneum and pericardium, whereas mesothelioma of the tunica vaginalis testis is exceedingly rare. The usual sites of metastasis are inguinal nodes, retroperitoneal lymph nodes and lung. Herein, we describe a patient with mesothelioma of testis, who presented with paraneoplastic glomerulopathy and asymptomatic solitary mediastinal lymphadenopathy on serial computed tomography imaging after radical orchiectomy. A diagnosis of metastatic lymph nodal disease was set by using convex-probe endobronchial ultrasound (EBUS) with transbronchial needle aspiration. We also briefly discuss clinical, etiological, pathological and therapeutical aspects of the disease, and highlight the paramount importance of real-time EBUS as the preferred method in the diagnostic approach of mediastinal lesions.

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