Mesothelioma

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Former shipyard worker, with progressive shortness of breath and weight loss.

Patient Data

Age: 70 years
Gender: Male

Chest

x-ray

Circumferential pleural thickening in the right thoracic cavity, with substantial volume loss within the right hemithorax.

Case Discussion

A mesothelioma, in general, is an aggressive malignant tumor, the vast majority arising from the pleural.

It is strongly associated with asbestos exposure, therefore afflicting those in industries with potential exposure, such as electricians and shipbuilders.  A significant lag response is known, being up to 20-30 afters exposure.

It typically causes circumferential thickening of the pleura, encasing the lung with resultant volume loss.

Treatment options are limited.  Prognosis is poor.

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