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An unexpected cause of dysphagia: pleural mesothelioma

Sagrario María Santos Seoane1, Raquel Yano Escudero2, Víctor Arenas García3

  • 1Medicina Interna, Hospital de Cabueñes, España.

Revista Espanola De Enfermedades Digestivas
|June 6, 2019
PubMed

Insights

Malignant mesothelioma, a rare cancer, can present with unusual initial symptoms like dysphagia. This case highlights a posterior mediastinal mass causing esophageal compression as an early indicator.

Area of Science:

  • Oncology
  • Thoracic Surgery

Background:

  • Malignant mesothelioma, often linked to asbestos exposure, typically affects the pleura or peritoneum.
  • This cancer has a poor prognosis and increasing global incidence.

Observation:

  • A middle-aged patient presented with dysphagia, an uncommon initial symptom for malignant mesothelioma.
  • Endoscopy revealed extrinsic esophageal compression, prompting further investigation.

Findings:

  • Chest X-ray identified a posterior mediastinal mass.
  • The mass concentrically surrounded the esophagus without evidence of mucosal invasion.

Implications:

  • This case underscores the importance of considering rare presentations of malignant mesothelioma.
  • Early diagnosis through investigation of atypical symptoms like dysphagia is crucial for patient outcomes.

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