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Japanese Journal of Clinical Oncology Advance Access published online on March 13, 2006
Japanese Journal of Clinical Oncology, doi:10.1093/jjco/hyl003
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© 2006 Foundation for Promotion of Cancer Research
Received October 17, 2005
Accepted December 27, 2005

Case Report

Triplet Chemotherapy for Malignant Pericardial Mesothelioma: A Case Report

Riichiroh Maruyama 1 *, Maki Sakai 1, Tomomi Nakamura 1, Ryuichi Suemitsu 1, Tatsuro Okamoto 1, Hiroshi Wataya 1, Kenichi Nishiyama 2, Toshiaki Kamei 3, and Yukito Ichinose 1

1 Department of Thoracic Oncology, Kyushu Cancer Center, Fukuoka, Japan
2 Department of Pathology, Kyushu Cancer Center, Fukuoka, Japan
3 Division of Pathology, Yamaguchi Prefectural Grand Medical Center, Yamaguchi, Japan

* To whom correspondence should be addressed.
Riichiroh Maruyama, E-mail: rmaruyama{at}nk-cc.go.jp


  Abstract

Malignant pericardial mesothelioma (MPM) is a relatively rare neoplasm in Japan, and no standard treatment regimens have been established for this disease. A 47-year-old woman with MPM presenting with cardiac tamponade was treated using four cycles of chemotherapy consisting of cisplatin (CDDP) 40 mg/m2, gemcitabine (GEM) 800 mg/m2 and vinorelbine (VNR) 20 mg/m2 on days 1 and 8 every 4 weeks after pericardial drainage alone. The diagnosis of MPM was confirmed by an immunohistochemical procedure using either positive or negative markers of malignant mesothelioma in addition to conventional cytological examinations using pericardial effusion. The patient experienced no severe non-hematological or hematological toxicities except for grade 3 neutropenia. The patient has returned to her usual activities and has remained well for 24 months after the last chemotherapy without any evidence of disease progression.

Keywords: malignant pericardial mesothelioma; triplet chemotherapy; long-term survival.
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