DYSPHAGIA AS A PRESENTING SYMPTOM OF MALI GNANT PLEURAL MESOTHELIOMA

Dysphagia is an unusual presenting symptom as of extradigestive tumors . Malignant mesothelioma, is a rare tumor localized in the pleural cav ity in 80% of all cases and it rarely appears with dysphagia as first symptom. We describe the case of a 74-year-old woman admitted with pro gressive dysphagia for solid and liquid food, atypical epigastric pain , with in conclusive endoscopic and radiologic studies. Nuclear Magnet ic Resonance established the diagnostic suspicion of malignant mesothe lioma wich was confirmed by the histologic study of a biopsy taken by thoracotomy. We think of interest to report this case of paraesophagic mesothelioma because of its unusual localization and presentation.