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Mesothelioma — DOccMed MCQ

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ModerateOccupational CancerMesotheliomaDOccMed

A 68-year-old retired shipyard worker presents with progressive dyspnoea and a unilateral pleural effusion. CT shows pleural thickening, and he recalls cutting asbestos insulation in confined spaces in the 1970s. What is the most likely occupational diagnosis?

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Correct answer: B — Malignant mesothelioma related to asbestos exposure

A unilateral pleural effusion with pleural thickening in a person with heavy historic asbestos exposure is highly suggestive of mesothelioma. The latency period is commonly several decades, which fits this presentation. Occupational history is important for compensation advice and potential reporting pathways.

Reference: HSE Asbestos Guidance; IIDB Prescribed Diseases