Spindle Cell Malignancy and Asbestos Exposure: A Case Report
We outline the presentation of a 68-year-old woman who received a chest radiograph due to her insurance requirements, resulting in the discovery of a left-sided pleural effusion. The effusion was further characterized as loculated on subsequent imaging. Thoracentesis yielded exudative fluid, leading...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-02, Vol.16 (2), p.e54382 |
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| creator | Walker, Nakoma Okafor, Chinedum Gandhi, Nitesh Sharma, Shivani |
| description | We outline the presentation of a 68-year-old woman who received a chest radiograph due to her insurance requirements, resulting in the discovery of a left-sided pleural effusion. The effusion was further characterized as loculated on subsequent imaging. Thoracentesis yielded exudative fluid, leading to the patient undergoing video-assisted thoracoscopic surgery (VATS). During this procedure, a cystic mass was visualized, with the conversion of the operation to an open thoracotomy and left lower lobe lobectomy. Pathology was positive for spindle cell sarcoma. A thorough history of the patient revealed a decades-long occupational exposure to asbestos. The significance of this report is to illustrate the clinical presentation, immunohistochemical characteristics, and management of a rare spindle cell malignancy. Our case also raises the importance of screening patients on an individualized, shared decision-making basis. |
| doi_str_mv | 10.7759/cureus.54382 |
| format | Article |
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The effusion was further characterized as loculated on subsequent imaging. Thoracentesis yielded exudative fluid, leading to the patient undergoing video-assisted thoracoscopic surgery (VATS). During this procedure, a cystic mass was visualized, with the conversion of the operation to an open thoracotomy and left lower lobe lobectomy. Pathology was positive for spindle cell sarcoma. A thorough history of the patient revealed a decades-long occupational exposure to asbestos. The significance of this report is to illustrate the clinical presentation, immunohistochemical characteristics, and management of a rare spindle cell malignancy. Our case also raises the importance of screening patients on an individualized, shared decision-making basis.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.54382</identifier><identifier>PMID: 38505454</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Asbestos ; Asymptomatic ; Biopsy ; Cancer therapies ; Case reports ; Decision making ; Drug dosages ; Health sciences ; Hematology ; Histology ; Internal Medicine ; Lung cancer ; Medical imaging ; Medical prognosis ; Oncology ; Ostomy ; Pathology ; Patients ; Pleural effusion ; Pulmonology ; Radiation ; Radiography ; Sarcoma ; Smooth muscle ; Thoracentesis ; Thoracic surgery ; Tomography</subject><ispartof>Curēus (Palo Alto, CA), 2024-02, Vol.16 (2), p.e54382</ispartof><rights>Copyright © 2024, Walker et al.</rights><rights>Copyright © 2024, Walker et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Walker et al. 2024 Walker et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c267t-780f3f55faf4871463a24d39ae8da86173e00e51959c3eb46a16445c9474df7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10948944/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10948944/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38505454$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walker, Nakoma</creatorcontrib><creatorcontrib>Okafor, Chinedum</creatorcontrib><creatorcontrib>Gandhi, Nitesh</creatorcontrib><creatorcontrib>Sharma, Shivani</creatorcontrib><title>Spindle Cell Malignancy and Asbestos Exposure: A Case Report</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>We outline the presentation of a 68-year-old woman who received a chest radiograph due to her insurance requirements, resulting in the discovery of a left-sided pleural effusion. 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| subjects | Asbestos Asymptomatic Biopsy Cancer therapies Case reports Decision making Drug dosages Health sciences Hematology Histology Internal Medicine Lung cancer Medical imaging Medical prognosis Oncology Ostomy Pathology Patients Pleural effusion Pulmonology Radiation Radiography Sarcoma Smooth muscle Thoracentesis Thoracic surgery Tomography |
| title | Spindle Cell Malignancy and Asbestos Exposure: A Case Report |
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