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Unveiling a rare haemorrhagic malignant pleural effusion: The role of medical thoracoscopy in diagnosing primary pleural angiosarcoma.
Respirol Case Rep
November 2024
Division of Respiratory Medicine, Department of Internal Medicine Melaka Hospital Melaka Malaysia.
Article Synopsis
- Primary pleural angiosarcoma (PPA) is a rare and difficult-to-diagnose tumor often confused with other cancers like mesothelioma and lung cancer due to similar symptoms and imaging results.
- A 52-year-old woman experienced severe shortness of breath and chest pain, with imaging revealing a large bleeding pleural effusion and medical thoracoscopy identifying abnormal pleura with nodular lesions.
- Diagnosis was confirmed through histopathology with specific tumor markers, but unfortunately, the patient developed an infection and died before receiving treatment, highlighting the challenges in diagnosing PPA.