A rare case of a huge malignant pleural mesothelioma presenting in the posterior mediastinum.

IF 0.8 Q4 RESPIRATORY SYSTEM
Respirology Case Reports Pub Date : 2024-07-09 eCollection Date: 2024-07-01 DOI:10.1002/rcr2.1429
Yuta Mori, Chihiro Kato, Hideo Yamakawa, Mariko Sugiura, Kensuke Fukumitsu, Satoshi Fukuda, Yoshihiro Kanemitsu, Takehiro Uemura, Tomoko Tajiri, Hirotsugu Ohkubo, Yutaka Ito, Tetsuya Oguri, Takayuki Murase, Akio Niimi
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引用次数: 0

Abstract

We report a case of a 69-year-old woman with pleural mesothelioma presenting in the posterior mediastinum with a maximum diameter of 25 cm. She had a chronic cough and a pleural effusion was noted on chest X-ray. The examination of the effusion showed high hyaluronic acid levels, and mesothelioma was suspected. A chest computed tomography scan showed a huge mediastinal mass, which caused rapid progression of respiratory failure and compression of the heart. Sufficient tissue samples could not be obtained before death. The patient died approximately 1 month after the initial visit, and a pathological autopsy was performed. The diagnosis of malignant pleural mesothelioma was made. Malignant pleural mesothelioma with a huge posterior mediastinal mass such as in this case is considerably rare; however, it is a rapidly progressing form of the disease and is reported here as an important differential diagnosis for mediastinal tumours.

一例罕见的后纵隔巨大恶性胸膜间皮瘤。
我们报告了一例 69 岁女性胸膜间皮瘤患者的病例,她的胸膜间皮瘤位于后纵隔,最大直径为 25 厘米。她长期咳嗽,胸部 X 光检查发现胸腔积液。积液检查显示透明质酸水平较高,怀疑是间皮瘤。胸部计算机断层扫描显示纵隔肿块巨大,导致呼吸衰竭迅速恶化,心脏受到压迫。死亡前无法获得足够的组织样本。患者在初次就诊约一个月后死亡,并进行了病理解剖。诊断结果为恶性胸膜间皮瘤。像本病例这样伴有巨大后纵隔肿块的恶性胸膜间皮瘤相当罕见;然而,这是一种进展迅速的疾病,在此作为纵隔肿瘤的一个重要鉴别诊断进行报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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