Mesothelioma

Case contributed by A.Prof Frank Gaillard

Presentation

Previous surgery. Now chest pain on right side.

Patient Data

Age: 80 years
Gender: Male
X-ray

Chest X-ray

Chest x-ray demonstrates opacification of the right costophrenic angle. There is thickening of the right paratracheal stripe (marginal) and evidence of previous thoracotomy with partial resection of the right posterior 7th rib.

CT

CT of the chest

CT scan of the chest demonstrates a large soft tissue mass in the right base which invades both the chest wall and the diaphragm and liver.

Case Discussion

This case illustrates the potentially aggressive behaviour of mesotheliomas, not only within the chest but also extending into the chest wall and into the liver. 

Pathology

MICROSCOPIC DESCRIPTION: The appearances are of thickened pleura some of which at least is parietal. The following changes are seen.  Organising fibrinous pleurisy, epithelioid malignant  mesothelioma,  sarcomatoid  malignant  mesothelioma  and fibrous pleural plaques. 

DIAGNOSIS: malignant mesothelioma.

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Case information

rID: 14237
Case created: 9th Jul 2011
Last edited: 12th Apr 2017
System: Chest
Inclusion in quiz mode: Included

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