Resumo

TERUEL GINES, Rolando et al. Pleural mesothelioma with paraneoplastic manifestations of hypertrophic osteoarthropathy. ccm [online]. 2019, vol.23, n.2, pp. 639-646.  Epub 30-Set-2019. ISSN 1560-4381.

We present a 65-year-old ex-smoker patient, in which respiratory manifestations with erratic bone pain treated with common medications, began a year before he was atended for dyspnea, cough and chest pain at “San Antonio” Basic Hospital, Riobamba city, Chimborazo province, Ecuador. The patient presented a large pleural effusion of 1500 ml of serohematic fluid. Cytological study was positive for malignancy to rule out mesothelioma. Surgery was performed, histologically malignant mesothelioma was confirmed in stage IV and treated with chemotherapy. But the patient worsens progressively until death. Authors emphasized that lung cancer paraneoplastic manifestations were more frequent in not pleural and parenchymal location. They also called attention to patients´ symptoms, which began one year before the respiratory condition appeared.

Palavras-chave : malignant pleural mesothelioma; paraneoplastic syndrome; hypertrophic osteoarthropathy.

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