Giant mass in the right diaphragmatic area

Our plain-English summary of Giant mass in the right diaphragmatic area, by S. Katz, R. Gordon, H. Romanoff (Chest, 1978).

The study

• Authors: S. Katz, R. Gordon, H. Romanoff
• Journal: Chest
• Published: 1978;74(1):83-4
• Type of article: Case report
• Cited by: 1 article, as counted by NIH iCite
• Read it: PubMed · Publisher

In plain English

This short article was a case report about one patient, a 65-year-old man, published as a chest X-ray teaching case. The article does not mention asbestos or any other exposure. The man came to the hospital with mild shortness of breath on effort and ankles swollen for a month or more. He had marked finger clubbing. X-rays of his hands and knees showed hypertrophic pulmonary osteoarthropathy, a bone and joint change. Imaging showed a large mass in the lower right chest above the diaphragm. The X-ray and laboratory findings pointed to hydatid disease, a parasitic cyst infection that the authors called not uncommon in Israel. At surgery, the mass turned out to be a tumor growing from the visceral pleura, the lining covering the lung. It was removed easily. It weighed 1,500 grams and had two lobes measuring 9 and 11 cm. Recovery was uneventful. Under the microscope, the tumor was diagnosed as a benign fibrous pleural mesothelioma. The authors described localized solitary pleural mesothelioma as a rare tumor.

We wrote this plain-English summary from the full article with the help of AI, and a second AI model checked each sentence against the article. It is not the authors' wording; the abstract and the article are their own account.

What the study did and found

• Design: case report (a single-patient chest X-ray teaching case)
• Who was studied: One 65-year-old man. The authors were at the Department of Thoracic and Vascular Surgery, Hadassah University Hospital, Jerusalem, Israel. No dates of care are given.
• Main results:
  • The patient had mild shortness of breath on effort that had started recently, and swelling of both ankles.
  • X-rays of the hands and knees showed hypertrophic pulmonary osteoarthropathy.
  • Before surgery, the X-ray and laboratory findings pointed to hydatid disease.
  • At surgery, a tumor arising from the visceral pleura was removed. It weighed 1,500 gm and had two lobes, 9 and 11 cm in diameter.
  • The patient's recovery after the operation was uneventful.
  • The diagnosis was fibrous pleural mesothelioma, which the microscopic examination found to be benign.
• The authors' conclusion: The authors did not state a formal conclusion. In their discussion, they described localized solitary pleural mesothelioma as a rare tumor.

Topics

The National Library of Medicine indexes this study under subjects our site covers: Mesothelioma.

Related studies

• Treatment of recurrent isolated right atrial metastatic cavitary mass from breast cancer with radiation therapy: A case report and review of literature — L. Ya'qoub, S. Larson, et al. (2018)
• Right Flank Pain Caused by a Sigmoid Colon Mass — A. Su, M. Farid (2019)
• Malignant mesothelioma presenting as a giant chest, abdominal and pelvic wall mass — Z.H. Shao, X.L. Gao, et al. (2011)
• Relationships of Lower Lung Fibrosis, Pleural Disease, and Lung Mass with Occupational, Household, Neighborhood, and Slate Roof-Dense Area Residential Asbestos Exposure — D. Kang, Y.Y. Kim, et al. (2018)
• A left pleural effusion with a calcified tumoral mass and left hemithoracic uptake on bone scan — E. Quoix, M.P. Chenard, et al. (2001)
• A case of giant benign localized fibrous tumor of the pleura — M. Biçer, S. Yaldiz, et al. (1998)

Browse more research in Chest, or return to medical research.