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Case Report

Not Everything Is What It Seems: Malignant Pleural Mesothelioma Mimicking Lung Cancer

by
Elena Prisciandaro
1,*,
Lara Girelli
1,
Cristiano Rampinelli
2,
Mariacristina Ghioni
3 and
Lorenzo Spaggiari
1,4
1
Division of Thoracic Surgery, European Institute of Oncology IRCCS, Milan, Italy
2
Division of Medical Imaging and Radiation Sciences, European Institute of Oncology IRCCS, Milan, Italy
3
Division of Pathology, European Institute of Oncology IRCCS, Milan, Italy
4
Division of Oncology and Hemato-Oncology, University of Milan, Milan, Italy
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2019, 87(6), 265-267; https://doi.org/10.5603/ARM.2019.0065
Submission received: 6 August 2019 / Revised: 5 October 2019 / Accepted: 5 October 2019 / Published: 14 January 2020

Abstract

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
Keywords: malignant pleural mesothelioma; differential diagnosis; lung cancer; intraparenchymal mesothelioma; lung nodule malignant pleural mesothelioma; differential diagnosis; lung cancer; intraparenchymal mesothelioma; lung nodule

Share and Cite

MDPI and ACS Style

Prisciandaro, E.; Girelli, L.; Rampinelli, C.; Ghioni, M.; Spaggiari, L. Not Everything Is What It Seems: Malignant Pleural Mesothelioma Mimicking Lung Cancer. Adv. Respir. Med. 2019, 87, 265-267. https://doi.org/10.5603/ARM.2019.0065

AMA Style

Prisciandaro E, Girelli L, Rampinelli C, Ghioni M, Spaggiari L. Not Everything Is What It Seems: Malignant Pleural Mesothelioma Mimicking Lung Cancer. Advances in Respiratory Medicine. 2019; 87(6):265-267. https://doi.org/10.5603/ARM.2019.0065

Chicago/Turabian Style

Prisciandaro, Elena, Lara Girelli, Cristiano Rampinelli, Mariacristina Ghioni, and Lorenzo Spaggiari. 2019. "Not Everything Is What It Seems: Malignant Pleural Mesothelioma Mimicking Lung Cancer" Advances in Respiratory Medicine 87, no. 6: 265-267. https://doi.org/10.5603/ARM.2019.0065

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