Pleural EHE

A 41‐year‐old man with no previous asbestos exposure presented with 6 months of dull right lower chest pain and weight loss. The initial computed tomography (CT) scan was reported as showing a soft tissue thickening in the posterior mediastinum with non‐specific nodules in the horizontal and oblique...

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Bibliographic Details
Published in:Respirology case reports 2015-06, Vol.3 (2), p.75-77
Main Authors: Wethasinghe, James, Sood, Jaideep, Walmsley, Russell, Milne, David, Jafer, Ali, Noel Gordon‐Glassford
Format: Article
Language:English
Subjects:
Asbestos
Case reports
Chemotherapy
Cytoplasm
Hemothorax
Medical prognosis
Pain
Radiation therapy
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Summary:A 41‐year‐old man with no previous asbestos exposure presented with 6 months of dull right lower chest pain and weight loss. The initial computed tomography (CT) scan was reported as showing a soft tissue thickening in the posterior mediastinum with non‐specific nodules in the horizontal and oblique fissures. An endoscopic ultrasound‐guided fine needle aspiration from the 12 × 25 mm heterogeneous posterior mediastinal mass was suspicious for a ganglioneuroma. The procedure was complicated by a large hemothorax requiring drainage. A subsequent positron emission tomographic CT revealed a moderately fluorodeoxyglucose avid area of pleural thickening extending from the sixth to ninth thoracic vertebral body in the paraspinal region along with nodules along the right horizontal and oblique fissures. A thoracoscopic biopsy of the pleural lesion confirmed a pleural epithelioid hemangioendothelioma. There was a 5‐mm reduction in tumor thickness and improvement in his pain following 54 Gy of radiotherapy.
ISSN:2051-3380
DOI:10.1002/rcr2.106