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Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy
Melanoma presenting with black pleural effusion is rare, with only five cases reported till date. In distinction to others, this is the only case where patient did not have a prior diagnosis of melanoma and was diagnosed by thoracoscopy. Reported is the case of a 49‐year‐old male who presented with...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Ltd
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768444/ https://www.ncbi.nlm.nih.gov/pubmed/31576207 http://dx.doi.org/10.1002/rcr2.490 |
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author | Sumalani, Kamran Khan Rehman, Uneeba Akhter, Nousheen Rizvi, Nadeem Ahmed |
author_facet | Sumalani, Kamran Khan Rehman, Uneeba Akhter, Nousheen Rizvi, Nadeem Ahmed |
author_sort | Sumalani, Kamran Khan |
collection | PubMed |
description | Melanoma presenting with black pleural effusion is rare, with only five cases reported till date. In distinction to others, this is the only case where patient did not have a prior diagnosis of melanoma and was diagnosed by thoracoscopy. Reported is the case of a 49‐year‐old male who presented with dyspnoea and weight loss. Patient had a large left‐sided pleural effusion. Ultrasound showed thickened irregular pleura and multiloculated pleural effusion. Diagnostic pleural aspiration was performed, and fluid was black in colour and was exudative lymphocytic. Atypical cells were noted on pleural fluid cytology. Medical thoracoscopy was carried out and histopathology suggested metastatic melanoma. Patient had multiple nevi all over the body, but clinically none was indicative of melanoma. He refused skin biopsy. The case was referred to medical oncology where palliative management was planned. Patient died within two weeks of diagnosis. |
format | Online Article Text |
id | pubmed-6768444 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley & Sons, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-67684442019-10-01 Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy Sumalani, Kamran Khan Rehman, Uneeba Akhter, Nousheen Rizvi, Nadeem Ahmed Respirol Case Rep Case Reports Melanoma presenting with black pleural effusion is rare, with only five cases reported till date. In distinction to others, this is the only case where patient did not have a prior diagnosis of melanoma and was diagnosed by thoracoscopy. Reported is the case of a 49‐year‐old male who presented with dyspnoea and weight loss. Patient had a large left‐sided pleural effusion. Ultrasound showed thickened irregular pleura and multiloculated pleural effusion. Diagnostic pleural aspiration was performed, and fluid was black in colour and was exudative lymphocytic. Atypical cells were noted on pleural fluid cytology. Medical thoracoscopy was carried out and histopathology suggested metastatic melanoma. Patient had multiple nevi all over the body, but clinically none was indicative of melanoma. He refused skin biopsy. The case was referred to medical oncology where palliative management was planned. Patient died within two weeks of diagnosis. John Wiley & Sons, Ltd 2019-09-30 /pmc/articles/PMC6768444/ /pubmed/31576207 http://dx.doi.org/10.1002/rcr2.490 Text en © 2019 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Case Reports Sumalani, Kamran Khan Rehman, Uneeba Akhter, Nousheen Rizvi, Nadeem Ahmed Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy |
title | Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy |
title_full | Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy |
title_fullStr | Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy |
title_full_unstemmed | Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy |
title_short | Black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy |
title_sort | black pleural effusion: an unusual presentation of metastatic melanoma diagnosed by medical thoracoscopy |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6768444/ https://www.ncbi.nlm.nih.gov/pubmed/31576207 http://dx.doi.org/10.1002/rcr2.490 |
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