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Pleural mesothelioma: An unusual case diagnosed on pleural fluid cytology and immunocytochemistry
Authors:Vinod K. Arora M.D.  Seema Aggarwal D.N.B.  Sandeep Mathur M.D.  G. K. Rath M.D.  P. K. Julka M.D.
Affiliation:1. Department of Pathology, All India Institute of Medical Sciences (AIIMS), Delhi, India;2. Department of Pathology, University College of Medical Sciences & GTB Hospital, Delhi 110095, India;3. Department of Radiotherapy and Oncology, Institute Rotary Cancer Hospital, AIIMS, Delhi 110029, India
Abstract:Mesothelioma is a rare neoplasm with relationship to occupational and environmental exposure to asbestos. Its accurate and early diagnosis is often difficult. We present an unusual clinical presentation and diagnostic dilemma in a 30‐year‐male, who presented with neck pain and diffuse edema of left upper limb. The color Doppler ultrasound revealed venous thrombosis. The right supraclavicular lymph node biopsy revealed a poorly differentiated carcinoma. The patient had mild bilateral pleural effusion, the characteristic cytomorphological features of mesothelioma on fluid cytology were helpful in establishing the diagnosis. Diagn. Cytopathol. 2009. © 2009 Wiley‐Liss, Inc.
Keywords:mesothelioma  neck swelling  pleural fluid cytology  immunochemistry
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