Case report of a 38-year-old woman presenting with a right pleural effusion 17 years after radiation for undifferentiated carcinoma.
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Highlights potential for very late radiation-related pleural effusion; leaves open epidemiology and surveillance needs in survivors.
Presentation of Case First admission. A 38-year-old woman was admitted to the hospital because of a right pleural effusion.She was well until 17 years earlier, when right cervical and axillary lymphadenopathy was found. Microscopical examination of a biopsy specimen of a lymph node, obtained elsewhere, was reported to show undifferentiated carcinoma; the appearance of the cells was believed consistent with melanoma, undifferentiated bronchial carcinoma, or embryonal carcinoma. An x-ray film of the chest was reported to show a mass in the right hemithorax. Radiation treatment was administered in a total tumor dose of 4000 rad through a single . . .
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Cabot et al. (1987) studied this question.
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