Open AccessAn unusual isolated anterior mediastinal lesion
Author(s) -
Quigley Nicholas,
LangLazdunski Loic,
BoilyDaoust Catherine,
Couture Christian,
Fortin Marc
Publication year - 2022
Publication title -
respirology case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.304
H-Index - 9
ISSN - 2051-3380
DOI - 10.1002/rcr2.1059
Subject(s) - medicine , radiology , lesion , mesothelioma , biopsy , pleural effusion , presentation (obstetrics) , pathology
Malignant pleural mesothelioma (MPM) is an infrequent tumour of poor prognosis with a strong association with asbestos exposure. Pleural effusion or thickening is the most common radiological finding. Thoracoscopic biopsy is the diagnostic modality of choice. In our report, we present the case of a career welder who consulted with vocal cord palsy and an atypical anterior mediastinal lesion. An EBUS‐TBNA‐guided biopsy and a thorough cytological assessment led to an unexpected diagnosis of epithelioid MPM. A localized anterior mediastinal lesion is an extremely infrequent presentation of MPM that deserves clinical recognition.