대한흉부영상의학회 Korean Society of Thoracic Radiology

대한흉부영상의학회 Weekly Case 메뉴

Close

대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
Advanced Search..

Close

Weekly Chest CasesArchive of Old Cases

Case No : 726 Date 2011-09-28

  • Courtesy of Kun Young Lim, MD, Hyae Young Kim, MD, Soo Hyun Lee, MD. / National Cancer Center, Korea.
  • Age/Sex 19 / M
  • Chief ComplaintDyspnea, cough, chest pain
  • Figure 1
  • Figure 2
  • Figure 3

Figure 1.

Diagnosis With Brief Discussion

Diagnosis
Malignant mesothelioma
Radiologic Findings
CT scans demonstrate a heterogeneously enhancing pleural mass in left lower hemithorax. Another small pleural nodules and pleural effusion are also noticed.
PET/CT scan demonstrates hypermetabolic pleural mass and nodules.
Brief Review
Mesothelioma is a malignancy with poor prognosis, with an average 5-year survival rate being less than 9%. This type of cancer is almost exclusively caused by exposure to asbestos. A long exposure can cause mesothelioma and so can short ones, as each exposure is cumulative. Although the tumor mainly affects older men who in their youth were occupationally exposed to asbestos, malignant mesothelioma can also occur in young adults. A medical history including asbestos exposure was carefully taken.
CT may demonstrate circumferential pleural thickening, pleural effusions, and lung nodules or masses; however, with a history of significant asbestos exposure, a diagnosis of mesothelioma can be suggested. In addition, CT can also be useful in demonstrating invasion of the tumor into the mediastinum, chest wall, diaphragm, and pericardium, which aids in disease staging and treatment planning.
References
Zarogoulidis P, Orfanidis M, Constadinidis TC, et al. A 26-year-old male with mesothelioma due to asbestos exposure. Case Report Med. 2011;2011:951732. Epub 2011 Jul 12
Tyszko SM, Marano GD, Tallaksen RJ, et al. Best cases from the AFIP: Malignant mesothelioma. Radiographics. 2007; 27:259-264.
Keywords
pleura, malignant tumor,

No. of Applicants : 75

▶ Correct Answer : 12/75,  16.0%
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India;Visitng Prof of Thoracic Surgery KLE University Belgaum , India Bankim Amin
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - UWO , Canada S Lee
  • - Fr Mullers Medical College , India Deepu Thomas
  • - CHU NANCY , France, Metropolitan LEGOU Francois
  • - Virgin Mary Hospital Burgas , Bulgaria VLADISLAV RUSINOV
  • - Magosa, North Cyprus , Cyprus SELIM MEHMET
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - ROHINI Scan Centre RSC. Ambattur, Chennai , India Umapathi Mahesh
  • - hospital , Syria marwan alchami
▶ Correct Answer as Differential Diagnosis : 27/75,  36.0%
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Seoul National University Hospital , Korea (South) YongSub Song
  • - Kohka Public Hospital , Japan Akitoshi Inoue
  • - National Jewish Health , United States Jonathan Chung
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - McGill University Health Center , Canada Alexandre Semionov
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - A.P.Chest hospital ,hyderabad , India bhaskar kakarla
  • - Radiologie Brabois adultes , France ROPION helene
  • - James Paget Hospital , U.K , United Kingdom nabil mahmood
  • - radiologist, aditya imaging centre , India vivek patel
  • - Asan medical center , Korea (South) sang young oh
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - bmcri , India sanjeev choudri
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - IRSA , France jean-luc BIGOT
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - NASA SCANS , India RAKESH BHATIA
  • - Pneumologia Universitaria, Policlinico di Bari , Italy Mario Damiani
  • - Private sector , Greece Vasilios Tzilas
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - Seoul St Mary Hospital , Korea (South) Chae Lim
  • - KUMC ansan , Korea (South) kihwan kim
  • Top
  • Back

Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

This website is optimized for IE 10 and above.