Mesothelioma - sarcomatoid

Case contributed by Frank Gaillard
Diagnosis certain

Patient Data

Gender: Female
x-ray

Right "white lung" displacing the heart to the left and the diaphragm inferiorly.
Amorphous calcifications scattered throughout right hemithorax.

ct

Coarse, partially calcified right pleural plaques, accompanied by massive right pleural effusion causing total right lung collapse and mass effect.

Case Discussion

Diffuse tumor proliferation involving the parietal and visceral pleura.

Histology

Sarcomatoid tumor with osteoid and calcification, differential diagnosis includes carcinosarcoma, sarcomatoid mesothelioma with osteoid formation or osteosarcoma.

The clinical and radiological impression strongly favors a mesotheliom.

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