CASE REPORT
Year : 2018  |  Volume : 12  |  Issue : 3  |  Page : 358-362

Diffuse pleural thickening: cases of pseudomesotheliomatous adenocarcinoma and pleural tuberculosis


1 Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
2 Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
3 Pathology, All Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Animesh Ray
Department of Medicine, All India Institute of Medical Sciences, New Delhi 110029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejb.ejb_121_17

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Diffuse pleural thickening is a common cause of diagnostic dilemma. We report two cases of pleural thickening that presented with similar clinical and radiological picture, thus clinching a diagnosis hinged on histopathology. In the first case, the histopatholgy and immunohistochemistry was suggestive of adneocarcinoma, thus making the diagnosis of pseudomesotheliomatous adenocarcinoma. In the second case, the histopathology was suggestive of tubercular etiology, which also is a rare presentation of active pleural tuberculosis. These cases highlight the importance of histopathological examination in establishing the etiology in cases of diffuse pleural thickening.


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