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Mesothelioma — DOccMed MCQ

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HardOccupational CancerMesotheliomaDOccMed

A 72-year-old retired school caretaker has unilateral pleural effusion, pleural thickening and weight loss. He maintained old boiler rooms for 25 years and recalls removing damaged insulation without respiratory protection. What is the most likely occupational diagnosis?

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Correct answer: EMalignant 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