http://dx.doi.org/10.3349/ymj.2015.56.2.311 Review Article pISSN: 0513-5796, eISSN: 1976-2437 Yonsei Med J 56(2):311-323, 2015 Clinical and Prognostic Features of Erionite-Induced Malignant Mesothelioma Ersin Demirer,1 Christian F. Ghattas,2 Mohamed O. Radwan,3 and Elamin M. Elamin3 1Department of Thoracic Medicine, GATA Haydarpas¸a Training Hospital, Istanbul, Turkey; 2Saint Elizabeth Health Center, Youngstown, OH, USA; 3Division of Pulmonary, Critical Care Medicine and Sleep, University of South Florida, Tampa, FL, USA. Received: July 24, 2014 This review analytically examines the published data for erionite-related malig- Corresponding author: Elamin M. Elamin, nant pleural mesothelioma (E-MPM) and any data to support a genetically predis- MD, MSc, FACP, FCCP, posed mechanism to erionite fiber carcinogenesis. Adult patients of age ≥18 years Professor of Medicine, with erionite-related pleural diseases and genetically predisposed mechanisms to University of South Florida Pulmonary, Critical Care & Sleep Medicine Section (111C) erionite carcinogenesis were included, while exclusion criteria included asbestos- or James A. Haley Veterans Hospital, tremolite-related pleural diseases. The search was limited to human studies though 13000 Bruce B. Downs Blvd. not limited to a specific timeframe. A total of 33 studies (31042 patients) including Tampa, FL 33612, USA. 22 retrospective studies, 6 prospective studies, and 5 case reports were reviewed. E- Tel: 1-813-972-7543, Fax: 1-813-979-3606 MPM developed in some subjects with high exposures to erionite, though not all. E-mail:
[email protected] Chest CT was more reliable in detecting various pleural changes in E-MPM than ∙ The authors have no financial conflicts of chest X-ray, and pleural effusion was the most common finding in E-MPM cases, interest.