Haemorrhagic Brain Metastasis from Malignant Pleural Mesothelioma: A rare case

Abstract

Malignant pleural mesothelioma usually has a median survival of only nine months from diagnosis, with death usually due to thoracic disease. This has led to the belief in the past, that mesothelioma rarely has distant metastasis with cerebral metastasis accounting for only three percent. This is a unique case of known malignant mesothelioma with distant haemorrhagic metastasis to the brain. This article reviews the imaging evaluation of patients with suspected intracranial involvement and malignant pleural mesothelioma and describes typical imaging findings of parenchymal brain metastasis on computed tomography and magnetic resonance imaging. The incidence of haemorrhagic brain metastasis and various treatment option have also been briefly discussed.