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N Am J Med Sci. 2010 Jun;2(6):281-4.

Primary peritoneal adenocarcinoma causes pleural effusion.

Author information

  • 1Department of Tuberculosis and Chest Disease, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh 202002, UP, India.

Abstract

CONTEXT:

The most common malignancies associated with malignant pleural effusions are carcinomas of the breast, lung, gastrointestinal tract, ovary and lymphomas. Primary peritoneal adenocarcinoma is a very rare cause of malignant pleural effusion.

CASE REPORT:

A 72-year old female patient presented to us with shortness of breath for the last 2 months. A contrast-enhanced computed tomography (CECT) scan of her-thorax revealed only bilateral pleural effusion with absence of any mass lesion or any mediastinal lymphadenopathy. A cytologic examination of pleural fluid revealed adenocarcinoma cells. A CECT of her abdomen and pelvis revealed heterogenous thickening of omentum with nodular appearances and small amount of ascites. Her ovaries were normal and no other mass lesion was detected. A histological examination of a peritoneal lesion was suggestive of adenocarcinoma.

CONCLUSIONS:

The patient was diagnosed with a rare case of primary peritoneal adenocarcinoma with bilateral pleural effusion.

KEYWORDS:

Malignant pleural effusion; primary peritoneal adenocarcinoma

PMID:
22574304
[PubMed]
PMCID:
PMC3347636
Free PMC Article
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