tailieunhanh - Báo cáo y học: " Malignant mesothelioma with unexpected contralateral mediastinal shift: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Malignant mesothelioma with unexpected contralateral mediastinal shift: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Malignant mesothelioma with unexpected contralateral mediastinal shift a case report James S Myerson Shibani Nicum Bhupinder Sharma and Mary ER O Brien Address The Royal Marsden NHS Foundation Trust Downs Road Sutton Surrey SM2 5PT UK Email James S Myerson - jsmyerson@ Shibani Nicum - Bhupinder Sharma - Mary ER O Brien - brien@ Corresponding author Published 28 April 2008 Received 5 October 2007 Journal of Medical Case Reports 2008 2 125 doi 1752-1947-2-125 Accepted 28 April 2008 This article is available from http content 2 1 125 2008 Myerson et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract__ Introduction Contralateral mediastinal shift due to pleural mesothelioma tissue rather than a pleural effusion is an unusual clinical feature of mesothelioma. Case presentation A 63-year-old woman with a past history of treated invasive ductal carcinoma of the breast presented with breathlessness and chest pain. Her chest radiograph revealed contralateral mediastinal shift and drainage of over 3 litres of pleural fluid relieved her symptoms. She underwent further investigations which revealed pleural mesothelioma rather than the expected metastatic breast cancer. When she represented with breathlessness a few months later a chest radiograph again demonstrated contralateral mediastinal shift. A thoracic ultrasound on this occasion revealed only a small loculated pleural effusion and unexpectedly a large volume of malignant tissue thereby explaining the chest .

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