Lung Cancer in Practice

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Malignant mesothelioma presenting as a stroke in the absence of chest symptoms
LCIP, Volume 5, Number 1.

A 74-year-old man presented with dysphasia and was thought to have had a stroke. His past medical history included infective endocarditis and subsequent mitral valve replacement. He had never smoked and had worked as a university lecturer for 30 years, and before that he was a research chemist. He could not recall any exposure to asbestos. On examination, he had expressive dysphasia but no other neurological signs. His chest radiograph revealed a large mediastinal mass and a left-sided pleural effusion.

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