Skip to main content
Thorax logoLink to Thorax
. 1981 Dec;36(12):901–905. doi: 10.1136/thx.36.12.901

Reactive mesothelial proliferation: a necropsy study.

C D Sheldon, A Herbert, P J Gallagher
PMCID: PMC471855  PMID: 7336368

Abstract

To establish a histological standard against which surgical biopsy material could be compared, the degree of mesothelial proliferation was studied in 100 unselected necropsies. A minor degree of mesothelial hyperplasia was identified in 10 cases, usually close to areas of fibrous adhesions. Pleural plaques were present in 33 patients but there was no evidence of associated mesothelial proliferation. No mesothelial changes were noted in patients with empyema or pleural metastases. These findings indicated that the degree of mesothelial hyperplasia in common disorders of the pleura is relatively slight. Significant mesothelial proliferation in needle biopsies should therefore be viewed with considerable suspicion and, where clinically appropriate, be followed by further investigation.

Full text

PDF
901

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Deluccia V. C., Reyes E. C. Percutaneous needle biopsy of parietal pleura. Analysis of 50 cases. N Y State J Med. 1977 Nov;77(13):2058–2061. [PubMed] [Google Scholar]
  2. Francis D., Jussuf A., Mortensen T., Sikjaer B., Viskum K. Hyaline pleural plaques and asbestos bodies in 198 randomized autopsies. Scand J Respir Dis. 1977 Aug;58(4):193–196. [PubMed] [Google Scholar]
  3. Frist B., Kahan A. V., Koss L. G. Comparison of the diagnostic values of biopsies of the pleura and cytologic evaluation of pleural fluids. Am J Clin Pathol. 1979 Jul;72(1):48–51. doi: 10.1093/ajcp/72.1.48. [DOI] [PubMed] [Google Scholar]
  4. Klima M., Gyorkey F. Benign pleural lesion and malignant mesothelioma. Virchows Arch A Pathol Anat Histol. 1977 Nov 25;376(3):181–193. doi: 10.1007/BF00432395. [DOI] [PubMed] [Google Scholar]
  5. Meurman L. Asbestos bodies and pleural plaques in a Finnish series of autopsy cases. Acta Pathol Microbiol Scand. 1966;(Suppl):1+–1+. [PubMed] [Google Scholar]
  6. NAYLOR B. THE EXFOLIATIVE CYTOLOGY OF DIFFUSE MALIGNANT MESOTHELIOMA. J Pathol Bacteriol. 1963 Oct;86:293–298. doi: 10.1002/path.1700860204. [DOI] [PubMed] [Google Scholar]
  7. Roberts G. H., Campbell G. M. Exfoliative cytology of diffuse mesothelioma. J Clin Pathol. 1972 Jul;25(7):577–582. doi: 10.1136/jcp.25.7.577. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Robinson J. J. Pleural plaques and splenic capsular sclerosis in adult male autopsies. Arch Pathol. 1972 Feb;93(2):118–122. [PubMed] [Google Scholar]
  9. Rosai J., Dehner L. P. Nodular mesothelial hyperplasia in hernia sacs: a benign reactive condition simulating a neoplastic process. Cancer. 1975 Jan;35(1):165–175. doi: 10.1002/1097-0142(197501)35:1<165::aid-cncr2820350122>3.0.co;2-u. [DOI] [PubMed] [Google Scholar]
  10. Rous V., Studený J. Aetiology of pleural plaques. Thorax. 1970 May;25(3):270–284. doi: 10.1136/thx.25.3.270. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Von Hoff D. D., LiVolsi V. Diagnostic reliability of needle biopsy of the parietal pleura. A review of 272 biopsies. Am J Clin Pathol. 1975 Aug;64(2):200–203. doi: 10.1093/ajcp/64.2.200. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES