NYC-WTC_000195068

NYC 9/11 Public Portal Document

ASBESTOS MEDITEXT ® - Medical Management Page 1 of 1

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ASBESTOS MEDITEXT ® - Medical Management

5.0 CASE REPORTS A. ADULT 1. A 44-year-old woman diagnosed with mesothelioma had been exposed to talc for over 12 years (Barnes & Rogers, 1984). Lung tissue revealed elevated levels of amosite. 2. A 76-year-old nonsmoking housewife with no direct occupational exposure to asbestos presented with pleural effusion and died of malignant mesothelioma, believed to have been acquired after "bystander" exposure from her husband who worked for 34 years as a machinist in a shipyard (Huncharek et al, 1989). 3. A 72-year-old male with known asbestos exposure presented with dyspnea on exertion and chest discomfort for about six months prior to admission. Computed tomography of the thorax revealed mild pleural thickening of the right upper thorax and severe pleural thickenings on the left interior and posterior thorax. Pleural biopsy demonstrated a diffuse fibrosis. a. Six weeks later, the patient returned with progressive weakness, malaise, weight loss, BUN of 63 mg/dL, creatinine of 4.5/dL, potassium of 5.3 mmol/L, and phosphate of 6.2 mg/dL. Abdominal ultrasound revealed bilateral hydronephrosis which was confirmed with an MRI scan. Fibrosis was noted surrounding the distal abdominal aorta and proximal iliac arteries. Intraoperative procedures revealed retroperitoneal and peri-iliac fibrosis with encasement of the right and left ureters in the fibrotic process. b. Lysis of the retroperitoneal fibrosis and periureteral adhesions was performed. The ureteral segment was found to have periureteral fibrosis, consistent with retroperitoneal fibromatosis with invasion of the right ureter; 36 months after discharge, no further progression of symptoms was observed (Moguire et al, 1991).

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