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Disorders of the Pleura: Fellow Case Report Poster - Disorders of the Pleura |

Malignant Mesothelioma Without Occupational Asbestos Exposure

Sarah Kung, DO; Viral Gandhi, MBBS; Jianwu Xie, MD; Tariq Cheema, MD
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Allegheny General Hospital, Pittsburgh, PA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):573A. doi:10.1016/j.chest.2016.08.662
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SESSION TITLE: Fellow Case Report Poster - Disorders of the Pleura

SESSION TYPE: Affiliate Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Malignant mesothelioma (MM) is classically associated with occupational asbestos exposure. Herein, we report a case of MM without occupational exposure.

CASE PRESENTATION: 85 year old female was seen in office for left sided pleural effusion. It was found incidentally during preoperative evaluation. She had a history of follicular lymphoma of right breast treated with excisional biopsy, adjuvant chemotherapy and radiation. The cancer was in remission. She endorsed 8 pounds of unintentional weight loss. She denies cough, fatigue or shortness of breath. She worked as a secretary with no occupational exposures. However, her husband was an electrician and was exposed with asbestos. Computerised tomography (CT) of chest demonstrated a large pleural effusion with thickened pleura. (Figure1) Surveillance CT 2 years prior showed undefined pleural based plaques. Left thoracoscopy was performed for drainage of effusion along with pleural biopsy and pleurodesis. Biopsy showed malignant mesothelioma. (Figure 2)

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