Case report

Late cutaneous metastases to the face from malignant pleural mesothelioma: A case report and review of the literature

Alaaeldeen M Elbahaie¹ , Dia E Kamel² , Julia Lawrence³ and Neville G Davidson¹

¹  Clinical Oncology Department, Mid Essex Hospital Services NHS Trust, Broomfield Hospital, Court Road, Chelmsford, CM1 7ET, UK

²  Histopathology Department, Mid Essex Hospital Services NHS Trust, Broomfield Hospital, Court Road, Chelmsford, CM1 7ET, UK

³  Radiotherapy Department, Colchester Hospital University NHS Foundation Trust, Essex County Hospital, Lexden Road, Colchester, CO3 3NB, UK

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World Journal of Surgical Oncology 2009, 7:84doi:10.1186/1477-7819-7-84

Published:	9 November 2009

Abstract

Background

Malignant Mesothelioma is a rare primary neoplasm affecting the serosal membranes. During its relative short course, this malignant neoplasm can give local and, rarely, distant haematogenous metastases in different organs. The reported metastatic sites include liver, lung, heart, brain, thyroid, adrenals, kidneys, pancreas, bone, soft tissue, skin and lymph nodes.

Case Presentation

We report a sixty one year-old man with a history of malignant pleural epithelioid mesothelioma treated with six cycles of Pemetrexed and Carboplatin completed 03/11/04 followed by radiotherapy to the drain site 250 Kv/TD20Gy/5F completed 13/12/2004. Then he developed multiple facial skin lesions 4 years later. These lesions were proved to be metastatic malignant sarcomatoid mesothelioma.

Conclusion

Mesothelioma metastases should be suspected in any known Mesothelioma patient with newly developed skin lesion.