Abstract :
Background: Pleural mesothelioma could be a exceptionally uncommon and aggressive neoplasm. Most commonly related with farther (up to 40 a long time earlier) asbestos introduction. It is troublesome to analyse and the forecast is ominous.
Case Report: We presented a case of a female with dyspnoea, cough and hemoptysis. Her chest radiogram showed hydrothorax on the left side. Neither the cytology examinations of the pleural liquid, nor the CT guided fine needle biopsy established the diagnosis. CT scan showed features suggestive of pleural mesothelioma. Ultrasonography of abdomen showed a large liver nodule. The diagnosis was confirmed by liver nodule biopsy and positive immune-histochemical markers, it was CK7 positive and calretinin positive (mesothelial origin marker).
Conclusions: Diagnostics of pleural mesothelioma is exceptionallytroublesome. CT and biopsy with immune-histochemical markers appear to be exceptionally important symptomatic strategies. It is worth recalling that pleural mesothelioma can have a nearby shape which may change into a diffuse one.
Keyword :
Malignant mesothelioma, Aggressive neoplasm, Immuno-histochemistry.