A Rapid Progression of Malignant Pleural Mesothelioma with Metastases to Lung and Brain

Malignant pleural mesothelioma commences as single or mul­tiple nodules, and generally spreads by local growth with extension of nodules to diffusely encompass the lung. The mortality from malignant mesothelioma (MM) usually results from local spread of the primary tumour. Metastases are uncommonly demonstrated clinically in the early stages of the disease. Here we report a 47 years old male patient, who was to tremolite asbestos environmentally, with the sarco­matoid type of malignant pleural mesothelioma who had a rapidly progressive disease with multiple cerebral and multiple nodular contralateral lung metastases seen soon after presenta­tion.