Saved by the Scan: A Case of Early Detection of Sarcomatoid Mesothelioma.
immuno-checkpoint inhibitor
immuno-chemotherapy
localized malignant mesothelioma
preventative care
tobacco abuse
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
accepted:
12
07
2022
entrez:
16
8
2022
pubmed:
17
8
2022
medline:
17
8
2022
Statut:
epublish
Résumé
We report a case of localized sarcomesothelioma detected during screening via a low-dose CT (LDCT) scan. The patient is a 71-year-old female, a current 56-pack-year cigarette smoker with a past medical history of myocardial infarction and stroke with a Zubrod score of zero. A screening LDCT revealed a 1.9 cm × 1.8 cm × 1.4 cm right lower lobe lesion with smooth margins and close association with the hemidiaphragm. A wedge resection with biopsy showed high-grade sarcomatoid mesothelioma with extensive desmoplastic morphology and negative margins. The patient opted for imaging surveillance, and at 12 months has shown no evidence of tumor recurrence on positron emission tomography (PET)/CT. The case shows that LDCT screening discovers cancers and saves lives. It also presented a dilemma for the patient and her oncologist because common guidelines do not define a recommended treatment.
Identifiants
pubmed: 35971345
doi: 10.7759/cureus.26793
pmc: PMC9371941
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e26793Informations de copyright
Copyright © 2022, Choudhury et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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