Respiratory Pathology · Pathology

A pleural biopsy shows malignant cells forming glands and expressing Calretinin and WT-1. The background shows ferruginous bodies. What is the diagnosis?

  1. Metastatic Adenocarcinoma
  2. Malignant Mesothelioma
  3. Small cell carcinoma
  4. Pleural Fibroma
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Correct answer: Malignant Mesothelioma

Mesothelioma is a tumor of the pleura strongly linked to asbestos exposure. Immunohistochemical markers like Calretinin and WT-1 are used to distinguish it from metastatic adenocarcinoma, which is usually negative for these markers.

Difficulty: Medium Question 17 of 20

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