Malignant Mesothelioma: Overcoming Diagnostic Hurdles

被引：1

作者：

Dharshini, R. Priya ^{[1
]}

Priyadarshini, Sarah Grace ^{[1
]}

Jayaganesh, P. ^{[1
]}

机构：

[1] Saveetha Univ, Saveetha Med Coll & Hosp, Saveetha Inst Med & Tech Sci, Dept Pathol, Chennai, India

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2024年 / 16卷 / 09期

关键词：

asbestos exposure; pleural neoplasm; massive pleural effusion; calretinin positive; malignant pleural mesothelioma (mpm); PLEURAL MESOTHELIOMA; LUNG-CANCER;

D O I：

10.7759/cureus.68718

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Malignant pleural mesothelioma, an aggressive neoplasm frequently linked to asbestos exposure, is often detected at an advanced stage. This report details the case of a 58-year-old mason who presented with leftsided chest pain, and shortness of breath, accompanied by weight loss for a month. A positron emission tomography (PET) scan revealed increased uptake along the pleural surface, as well as in several mediastinal lymph nodes and the left supraclavicular lymph node. Thoracoscopy revealed the presence of multiple nodules on the costal pleura. Despite repeated negative results from pleural effusion cytology, cell block analysis, and pleural biopsies, the diagnosis of malignant mesothelioma (MM) was ultimately established through an ultrasound-guided (USG) biopsy of the left supraclavicular lymph node, with immunohistochemical confirmation using calretinin.

引用

页数：7

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