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http://dx.doi.org/10.5144/1658-3876.2011.193DOI Listing

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Context.—: Distinguishing metastatic carcinomas from mesotheliomas or reactive mesothelial cells in pleural, peritoneal, and pericardial effusions is a common diagnostic problem cytopathologists encounter.

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Article Synopsis
  • Malignant pleural mesothelioma (MPM) is a serious cancer mainly linked to asbestos exposure, and this study investigates noninvasive biomarkers for its diagnosis.
  • A total of 30 MPM patients and 25 control subjects were analyzed, with biomarker levels measured through an enzyme immunoassay and statistical tests applied to evaluate the results.
  • The study found that several biomarkers (neopterin, periostin, YKL-40, Tenascin-C, and IDO) were significantly higher in MPM patients compared to controls, suggesting they could be useful for early diagnosis of MPM.
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Background And Objective: Medical thoracoscopy (MT) is useful for the management of pleural disease. Rapid on-site evaluation (ROSE) of transbronchial needle aspirates proved to be useful during bronchoscopy. We aimed to evaluate the diagnostic performance of ROSE of MT biopsy specimens and thoracoscopists' impression of the macroscopic appearance and assess the intermodality agreement between ROSE and final histopathologic diagnosis.

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We present a case of a 58 years old man with a large heterogeneous and well circumscribed soft tissue mass arising from the right pleural surface, found at a computer tomography of his chest. This mass after complete resection through a right lateral open thoracotomy, proved to be a Solitary Fibrous Tumor, previously known as 'benign mesothelioma'. This tumor is usually discovered at routine chest X-rays since patients are either asymptomatic or report atypical symptoms.

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