Open AccessChest pain and recurrent chylothorax: an unusual presentation of malignant pleural mesothelioma
Author(s) -
Darley David R.,
Granger Emily,
Glanville Allan R.
Publication year - 2017
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/rcr2.250
Subject(s) - medicine , mesothelioma , presentation (obstetrics) , chylothorax , chest pain , radiology , case presentation , oncology , pathology , surgery
Malignant mesothelioma presenting with recurrent chylous effusion is rare. We describe the case of a 34‐year‐old female Macedonian immigrant who presented with central chest pain and subsequently a left‐sided chylous pleural effusion. The diagnosis was made on pleural biopsy via video‐assisted thoracoscopic surgery (VATS). Our case demonstrates the utility of thoracic magnetic resonance imaging (MRI) and the difficulties associated with pleural cytology and cervical lymph node biopsy in the establishment of a diagnosis of mesothelioma. It is a reminder that mesothelioma can metastasize to mediastinal and cervical lymph nodes, can occur in young people, and may present as a chylothorax.