Aberrant Pleural Plaques.

Daniel Cabral, Carolina Torres, Cristina Rodrigues, Samuel Mendes, Francisco Félix
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Abstract

Male, 71 years old, active smoker. Referred to our outpatient clinic due to right upper lobe nodule with 4 year follow-up, which increased in size and metabolic uptake during the last year. CT scan also revealed multiple pleural plaques with a diffuse pattern. The patient underwent a right upper VATS lobectomy and mediastinal lymphadenectomy after intraoperative pathology consultation was positive for malignancy. Intraoperative with evidence of multiple hyline pleural plaques and aberrant neoformative lesions, mimicking teeth, on the diaphragm and parietal costal pleura, probably related to asbestos exposure.

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异常胸膜斑块。
男性,71岁,吸烟频繁。因右上肺叶结节就诊,随访4年,去年体积增大,代谢摄取增加。CT扫描显示多发胸膜弥漫性斑块。患者在术中病理诊断为恶性肿瘤后,接受了右上VATS肺叶切除术和纵隔淋巴结切除术。术中发现膈膜和肋胸膜壁层有多发水样胸膜斑块和异常新生病变,类似牙齿,可能与石棉暴露有关。
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