Preoperative work-up of a solitary diaphragmatic mass in a patient with right shoulder pain: a case for diagnosis.
A patient presented with right shoulder pain. Imaging studies revealed an apparently solitary soft tissue pleural lesion, accompanied by a very small pleural effusion. On medical thoracoscopy, a diffuse malignant pleural mesothelioma was found. Thoracoscopy proved to play an essential part in the diagnostic work-up, avoiding a futile thoracotomy for a presumed solitary soft tissue tumour.
Verpeut
A
A
Dept of Pulmonary Medicine (Respiratory Oncology Unit), University Hospital Gasthuisberg, Catholic University, Leuven, Belgium.
Vansteenkiste
J
J
Deschepper
K
K
Demedts
M
M
D001194:Asbestos / Q000009:adverse effects; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis* / Q000209:etiology; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000175:diagnosis* / Q000209:etiology; D020069:Shoulder Pain / Q000209:etiology; D013906:Thoracoscopy / Q000379:methods; D014057:Tomography, X-Ray Computed
D001194:Asbestos