TBNA (submucosal) for diagnosis of mesothelioma (and ROSE for a faster one)

We describe a malignant pleural mesothelioma (MPM) case diagnosis obtained with submucosal (SM) TBNA (transbronchial needle aspiration) and ROSE (Rapid on site examination). A 64 year old man was admitted to our unit because of pneumonia and scanty pleural effusion (PE) on chest radiography (see figure, Thorax CT scan). Thick fissures in the mediastinal pleura (MP) nodules and enhancement maximum diameter 2.0 cm. Minimal PE, lung atelectasis. Lymphnodes diameter To our knowledge, this is the first time that a mediastinal involvement of MPM is approached via TBNA and ROSE was diagnostic for Epithelial MPM.