TY - JOUR
T1 - Not everything is what it seems
T2 - Malignant pleural mesothelioma mimicking lung cancer
AU - Prisciandaro, Elena
AU - Girelli, Lara
AU - Rampinelli, Cristiano
AU - Ghioni, Mariacristina
AU - Spaggiari, Lorenzo
PY - 2019/1/1
Y1 - 2019/1/1
N2 - Malignant pleural mesothelioma usually arises from the pleural surface and progressively encases the lungs. Pulmonary involvement generally occurs at an advanced stage, while intraparenchymal nodules, in the absence of pleural lesions, constitute a less frequent presentation. We describe the case of a patient with multiple bilateral pulmonary nodules, mediastinal lymphadenopathies and left pleural effusion in the absence of pleural lesions, simulating advanced stage lung cancer. Thoracoscopic inspection did not detect any lesions. Pathological examination on one pulmonary nodule revealed malignant pleural mesothelioma. Despite its rarity, intraparenchymal malignant pleural mesothelioma should always be taken into account, when lung nodules are present, to prevent misdiagnosis and avoid delayed treatment.
AB - Malignant pleural mesothelioma usually arises from the pleural surface and progressively encases the lungs. Pulmonary involvement generally occurs at an advanced stage, while intraparenchymal nodules, in the absence of pleural lesions, constitute a less frequent presentation. We describe the case of a patient with multiple bilateral pulmonary nodules, mediastinal lymphadenopathies and left pleural effusion in the absence of pleural lesions, simulating advanced stage lung cancer. Thoracoscopic inspection did not detect any lesions. Pathological examination on one pulmonary nodule revealed malignant pleural mesothelioma. Despite its rarity, intraparenchymal malignant pleural mesothelioma should always be taken into account, when lung nodules are present, to prevent misdiagnosis and avoid delayed treatment.
KW - Differential diagnosis
KW - Intraparenchymal mesothelioma
KW - Lung cancer
KW - Lung nodule
KW - Malignant pleural mesothelioma
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U2 - 10.5603/ARM.2019.0065
DO - 10.5603/ARM.2019.0065
M3 - Article
C2 - 31970729
AN - SCOPUS:85078300563
VL - 87
SP - 265
EP - 267
JO - Advances in Respiratory Medicine
JF - Advances in Respiratory Medicine
SN - 2451-4934
IS - 6
ER -