The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural Diseases

Mesothelioma is a malignancy pleural mass characterized by pleural thickening, that difficult to distinguish from other pleural disorders, such as infection, asbestosis, pleural effusion/empyema. This case report is interesting and important because chest x-ray and chest CT have characteristics of p...

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Main Author: Ana Majdawati
Format: Article
Language:English
Published: Universitas Muhammadiyah Yogyakarta 2018-08-01
Series:Mutiara Medika
Subjects:
Online Access:https://journal.umy.ac.id/index.php/mm/article/view/4794
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author Ana Majdawati
author_facet Ana Majdawati
author_sort Ana Majdawati
collection DOAJ
description Mesothelioma is a malignancy pleural mass characterized by pleural thickening, that difficult to distinguish from other pleural disorders, such as infection, asbestosis, pleural effusion/empyema. This case report is interesting and important because chest x-ray and chest CT have characteristics of pleural abnormalities that can be used as guidelines for the diagnosis of Mesothelioma. A 56 years old woman with cough, chest pain and breathlessness since a few days ago, and it was getting worse. In the chest auscultation, vesicular voices weaken in both lungs. In chest x ray finding a thin opacity on both hemithorax. The left sinus costophrenicus was blunt. Chest CT finding a pleural thickening in the posterobasal of the chest wall and disseminating to the mediastinum –paraaortic and found an osteodestruction of rib bones. Pleural thickening is circumferensial, lobulated, irregular nodular opasities and calsification. The histopathology is malignant epitheloid cell forms a cohesive nest, glandular structure and a lot of micropapillae in accordance with malignant mesothelioma. Malignant pleural thickening has lesion characteristic of “irregular nodular opacities” on the periphery with or without pleural effuse in chest x ray and in chest CT shows the form of lesions are circumferential, lobulated, encase lung parenchyma.
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spelling doaj.art-b31e2e41cc754e0aa71b46c4832559062022-12-22T00:42:26ZengUniversitas Muhammadiyah YogyakartaMutiara Medika1411-80332614-01012018-08-01182717610.18196/mm.1802192933The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural DiseasesAna MajdawatiMesothelioma is a malignancy pleural mass characterized by pleural thickening, that difficult to distinguish from other pleural disorders, such as infection, asbestosis, pleural effusion/empyema. This case report is interesting and important because chest x-ray and chest CT have characteristics of pleural abnormalities that can be used as guidelines for the diagnosis of Mesothelioma. A 56 years old woman with cough, chest pain and breathlessness since a few days ago, and it was getting worse. In the chest auscultation, vesicular voices weaken in both lungs. In chest x ray finding a thin opacity on both hemithorax. The left sinus costophrenicus was blunt. Chest CT finding a pleural thickening in the posterobasal of the chest wall and disseminating to the mediastinum –paraaortic and found an osteodestruction of rib bones. Pleural thickening is circumferensial, lobulated, irregular nodular opasities and calsification. The histopathology is malignant epitheloid cell forms a cohesive nest, glandular structure and a lot of micropapillae in accordance with malignant mesothelioma. Malignant pleural thickening has lesion characteristic of “irregular nodular opacities” on the periphery with or without pleural effuse in chest x ray and in chest CT shows the form of lesions are circumferential, lobulated, encase lung parenchyma.https://journal.umy.ac.id/index.php/mm/article/view/4794pleural thickeningcharacteristic of lesionschest x raychest ct scanmesothelioma
spellingShingle Ana Majdawati
The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural Diseases
Mutiara Medika
pleural thickening
characteristic of lesions
chest x ray
chest ct scan
mesothelioma
title The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural Diseases
title_full The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural Diseases
title_fullStr The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural Diseases
title_full_unstemmed The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural Diseases
title_short The Radiology Characteristic of Pleural Thickening Lesion: Mesothelioma Compared to the Other Pleural Diseases
title_sort radiology characteristic of pleural thickening lesion mesothelioma compared to the other pleural diseases
topic pleural thickening
characteristic of lesions
chest x ray
chest ct scan
mesothelioma
url https://journal.umy.ac.id/index.php/mm/article/view/4794
work_keys_str_mv AT anamajdawati theradiologycharacteristicofpleuralthickeninglesionmesotheliomacomparedtotheotherpleuraldiseases
AT anamajdawati radiologycharacteristicofpleuralthickeninglesionmesotheliomacomparedtotheotherpleuraldiseases