Pleural Plaques and Malignant Pleural Mesothelioma in a Patient With Previous Asbestos Exposure

Giampietro Marchetti; Claudio Sorino; David Feller-Kopman

doi:10.1016/B978-0-323-79541-8.00002-3

Pleural Plaques and Malignant Pleural Mesothelioma in a Patient With Previous Asbestos Exposure

Giampietro Marchetti, Claudio Sorino, David Feller-Kopman

School of Medicine

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

A man with previous asbestos exposure in the workplace presented with exertional dyspnea. Chest radiography revealed right basilar opacity, with blunting of the costophrenic angle suggestive of pleural effusion. The patient was treated empirically with antibiotics. Radiological findings remained unchanged after 1 month. Chest ultrasonography and computed tomography (CT) confirmed right pleural effusion and revealed bilateral pleural plaques. The patient’s health care providers discussed possible diagnostic options, including nuclear imaging and invasive procedures. Medical thoracoscopy was performed and showed diffuse pleural plaques and nodules. Biopsy of the parietal pleura demonstrated stromal invasion by epithelioid malignant pleural mesothelioma.

Original language	English (US)
Title of host publication	Pleural Diseases
Subtitle of host publication	Clinical Cases and Real-World Discussions
Publisher	Elsevier
Pages	15-22
Number of pages	8
ISBN (Electronic)	9780323795418
DOIs	https://doi.org/10.1016/B978-0-323-79541-8.00002-3
State	Published - Jan 1 2021

Keywords

asbestos
malignant pleural mesothelioma
pleural plaques
pleurectomy
thoracoscopy

ASJC Scopus subject areas

General Medicine

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10.1016/B978-0-323-79541-8.00002-3

Cite this

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abstract = "A man with previous asbestos exposure in the workplace presented with exertional dyspnea. Chest radiography revealed right basilar opacity, with blunting of the costophrenic angle suggestive of pleural effusion. The patient was treated empirically with antibiotics. Radiological findings remained unchanged after 1 month. Chest ultrasonography and computed tomography (CT) confirmed right pleural effusion and revealed bilateral pleural plaques. The patient{\textquoteright}s health care providers discussed possible diagnostic options, including nuclear imaging and invasive procedures. Medical thoracoscopy was performed and showed diffuse pleural plaques and nodules. Biopsy of the parietal pleura demonstrated stromal invasion by epithelioid malignant pleural mesothelioma.",

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N2 - A man with previous asbestos exposure in the workplace presented with exertional dyspnea. Chest radiography revealed right basilar opacity, with blunting of the costophrenic angle suggestive of pleural effusion. The patient was treated empirically with antibiotics. Radiological findings remained unchanged after 1 month. Chest ultrasonography and computed tomography (CT) confirmed right pleural effusion and revealed bilateral pleural plaques. The patient’s health care providers discussed possible diagnostic options, including nuclear imaging and invasive procedures. Medical thoracoscopy was performed and showed diffuse pleural plaques and nodules. Biopsy of the parietal pleura demonstrated stromal invasion by epithelioid malignant pleural mesothelioma.

AB - A man with previous asbestos exposure in the workplace presented with exertional dyspnea. Chest radiography revealed right basilar opacity, with blunting of the costophrenic angle suggestive of pleural effusion. The patient was treated empirically with antibiotics. Radiological findings remained unchanged after 1 month. Chest ultrasonography and computed tomography (CT) confirmed right pleural effusion and revealed bilateral pleural plaques. The patient’s health care providers discussed possible diagnostic options, including nuclear imaging and invasive procedures. Medical thoracoscopy was performed and showed diffuse pleural plaques and nodules. Biopsy of the parietal pleura demonstrated stromal invasion by epithelioid malignant pleural mesothelioma.

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KW - malignant pleural mesothelioma

KW - pleural plaques

KW - pleurectomy

KW - thoracoscopy

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ER -

Pleural Plaques and Malignant Pleural Mesothelioma in a Patient With Previous Asbestos Exposure

Abstract

Keywords

ASJC Scopus subject areas

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