{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:53:47Z","timestamp":1740174827701,"version":"3.37.3"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Curative intent surgery may be indicated for some patients with resectable early stage malignant pleural mesothelioma (MPM). However, sarcomatoid MPM is a highly aggressive subtype for which curative intent surgery is generally not recommended.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present the case of a 63-year-old man who presented with dyspnea and chest tightness. Computed tomography revealed pleural thickening and nodular lesions. A pleural biopsy confirmed lymphohistiocytoid MPM (cT1N0M0, stage IA), prompting surgical intervention. The patient underwent left extrapleural pneumonectomy (EPP), and the final diagnosis was sarcomatoid MPM (pT2N0M0, stage IB). Although post-operative chemotherapy was planned, the patient refused additional treatment, because of the introduction of home oxygen therapy, and has remained recurrence-free for 10\u00a0years after the surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This case presents a noteworthy instance of achieving long-term recurrence-free survival solely through curative intent surgery for sarcomatoid MPM. It highlights the potential efficacy of surgical intervention in managing this aggressive subtype, offering a glimmer of hope for improved outcomes. Further research is warranted to better define the role of surgery in the treatment of sarcomatoid MPM.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01939-1","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T04:01:49Z","timestamp":1717128109000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sarcomatoid malignant pleural mesothelioma: a case of long-term recurrence-free survival following curative intent surgery alone"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8812-1787","authenticated-orcid":false,"given":"Masatoshi","family":"Kanayama","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaru","family":"Takenaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuma","family":"Yoshimatsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Matsumiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masataka","family":"Mori","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aya","family":"Nawata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Yasuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumihiro","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"1939_CR1","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/j.annonc.2021.11.005","volume":"33","author":"S Popat","year":"2022","unstructured":"Popat S, Baas P, Faivre-Finn C, Girard N, Nicholson AG, Nowak AK, et al. Malignant pleural mesothelioma: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2022;33:129\u201342.","journal-title":"Ann Oncol"},{"key":"1939_CR2","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1007\/s00595-021-02437-9","volume":"52","author":"M Kanayama","year":"2022","unstructured":"Kanayama M, Mori M, Matsumiya H, Taira A, Shinohara S, Takenaka M, et al. Surgical strategy for malignant pleural mesothelioma: the superiority of pleurectomy\/decortication. Surg Today. 2022;52:1031\u20138.","journal-title":"Surg Today"},{"key":"1939_CR3","doi-asserted-by":"publisher","first-page":"566","DOI":"10.1111\/j.1440-1827.2010.02560.x","volume":"60","author":"T Kawai","year":"2010","unstructured":"Kawai T, Hiroi S, Nakanishi K, Takagawa K, Haba R, Hayashi K, et al. Lymphohistiocytoid mesothelioma of the pleura. Pathol Int. 2010;60:566\u201374.","journal-title":"Pathol Int"},{"key":"1939_CR4","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1016\/j.thorsurg.2004.06.006","volume":"14","author":"PA J\u00e4nne","year":"2004","unstructured":"J\u00e4nne PA, Baldini EH. Patterns of failure following surgical resection for malignant pleural mesothelioma. Thorac Surg Clin. 2004;14:567\u201373.","journal-title":"Thorac Surg Clin"},{"key":"1939_CR5","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1016\/j.athoracsur.2018.07.081","volume":"107","author":"S Kim","year":"2019","unstructured":"Kim S, Bull DA, Garland L, Khalpey Z, Stea B, Yi S, et al. Is there a role for cancer-directed surgery in early-stage sarcomatoid or biphasic mesothelioma? Ann Thorac Surg. 2019;107:194\u2013201.","journal-title":"Ann Thorac Surg"},{"key":"1939_CR6","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.atssr.2022.07.004","volume":"1","author":"K Kajiyama","year":"2023","unstructured":"Kajiyama K, Taira A, Takenaka M, Kuroda K, Kusano M, Nawata A, et al. Salvage pleurectomy\/decortication after immunotherapy for sarcomatoid malignant pleural mesothelioma. Ann Thorac Surg Short Rep. 2023;1:121\u20133.","journal-title":"Ann Thorac Surg Short Rep"},{"key":"1939_CR7","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivad173","volume":"38","author":"M Takenaka","year":"2024","unstructured":"Takenaka M, Kuroda K, Yoshimatsu K, Mori M, Kanayama M, Taira A, et al. Salvage pleurectomy\/decortication following immunotherapy for malignant pleural mesothelioma. Interdiscip Cardiovasc Thorac Surg. 2024;38: ivad173. https:\/\/doi.org\/10.1093\/icvts\/ivad173.","journal-title":"Interdiscip Cardiovasc Thorac Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01939-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01939-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01939-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T04:12:54Z","timestamp":1717128774000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01939-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,31]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1939"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01939-1","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2024,5,31]]},"assertion":[{"value":"14 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent to publish was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"134"}}