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KMID : 0383819820290010043
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Tuberculosis and Respiratory Diseases
1982 Volume.29 No. 1 p.43 ~ p.46
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Malignant Mesothelioma Causing Bloody Pleural Effusion
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Kim Hong-Bum
Kim Young-Chul
Park Soon-Kew
Shin Young-Kee
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Abstract
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Mesothelioma is a rare primary neoplasm of the pleura arid can be seperated into benign and malignant lesions. Mesotheliomas are usually, but not always, related to previous exposure to asbestos. Malignant mesothelioma usually infiltrate widely over the pleural surface and may completely encase the lung; the tumor often invades the diaphragm, pericardium and hilar lymph nodes. Cough, chest pain, and weight loss are nearly always present in addition to dyspnea. Bloody pleural effusion containing malignant cells is frequently served. Prognosis of patients with diffuse malignant
mesothelioma is bad. This 28 year old female patient was transferred to BNUH from local clinic because of bloody pleural effusion of one months duration. On chest film, there was total haziness of left lung due to pleural effusion. After thoracentesis, chest films showed mass-like density by air-contrast in pleural cavity. CT of the chest showed multiply lobulated intrapleural mass with pleural effusion. By pleural needle biopsy, the lesion was confirmed as a malignant mesothelioma.
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