HISTORY:
The patient is a 67 year old female with a remote history of invasive ductal breast carcinoma. She presents to her PCP with upper respiratory symptoms. Chest x-ray shows a left pleural effusion.
CDKN2A (9p21) FISH is positive for deletion
What is the diagnosis?
- Malignant mesothelioma
- Metastatic ductal breast carcinoma
- Reactive mesothelial cells
- Metastatic lung adenocarcinoma
- Metastatic urothelial carcinoma