Question

Patient E., 57 years. In the spring, lung changes were found in complete well-being during the preventive examination. Was examined in a tuberculosis dispensary - active pulmonary tuberculosis was not established. After 4 months, the patient was again examined in the polyclinic due to weight loss of 12 kg, progressive shortness of breath and weakness. Right-sided pleural effusion was detected during radiographic examination of the lungs. The patient was hospitalized in the hospital, performed pleural puncture (result: 1000 ml, hemorrhagic, clear, odorless, specific gravity - 1,020, Rivalt sample - weakly positive. Microscopic examination: mycobacteria not detected, many erythrocytes, numerous mesothelioma cells with signs of atypia were found)
Question:
1. What diagnosis can you assume?
2. What instrumental research methods would you recommend to confirm the diagnosis?
3. Consultation of which specialists is necessary for the patient??

Answer 1

1. Exudative pleural Effusion Due to Malignancy because there are numerous Mesothelioma cells with signs of Atypia in the cytology report of Pleural Fluid Examination.

2. Methods For Confirmation Of Diagnosis are-

•​​​​​​Pleural Fluid Cytology

•Histopathological examination of Pleural Biopsy.

Others Investigations-

-Chest X-ray PA View

-Ultrasonography

-CT(Computed Tomography) Scan

3. Consultation specialist necccesary for this Patient is

•Pulmonologist

•Oncologist