A 72-year-old retired insulation worker presents with progressive dyspnea and pleuritic chest pain. Vital signs show BP 142/88 mmHg, HR 98/min, RR 22/min, and SpO2 88% on room air. Temperature is normal. CT chest reveals diffuse pleural thickening encasing bilateral lungs with no parenchymal masses. Chest X-ray shows pleural calcification. He denies hemoptysis. Which neoplasm is most likely associated with this clinical presentation and imaging findings?
- A)Bronchial carcinoid tumor
- B)Squamous cell carcinoma of the larynx
- C)Small cell carcinoma
- D)Malignant mesotheliomaGABARITO
- E)Pulmonary hamartoma
Explicação
Malignant mesothelioma is correct. Asbestos exposure is strongly associated with mesothelioma, which arises from mesothelial cells of the pleura and often causes diffuse pleural thickening rather than a discrete intraparenchymal mass. Pleuritic pain and an ins... Ver explicação completa e trilha adaptativa →