Mesothelioma — DOccMed MCQ
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Correct answer: E — Malignant mesothelioma related to previous asbestos exposure
Unilateral pleural effusion and pleural thickening with past asbestos exposure strongly suggest mesothelioma. Caretakers in older buildings may have encountered asbestos during maintenance. Asbestosis is a fibrotic interstitial lung disease rather than a malignant pleural tumour. The long latency is typical of asbestos-related malignancy.
Reference: HSE Asbestos guidance; IIDB prescribed diseases guidance