MISCELLANEOUS
Pulmonary puzzle
Answer
| The first 150 words of the full text of this article appear below. |
From the question on page 620.
Lobectomy was performed. The cut surface revealed a poorly circumscribed yellow to white firm area 9.0x6.5x6.0 cm which included a white necrotic tumorous lesion measuring 6.0x5.5x5.0 cm (fig 1A). A feeding artery, 0.3 cm in diameter, from the descending thoracic aorta was seen nearby. Pathological examination of the consolidated mass was consistent with an intralobar sequestration accompanied by obstructive pneumonia with dense infiltrations of lymphoplasma cells, foamy histiocytes and fibroblasts. The tumour demonstrated an adenocarcinoma admixed with spindle cells and pleomorphic cells (fig 1B) which showed cytokeratin and vimentin coexpression. The diagnosis of a pleomorphic carcinoma arising in an intralobar sequestration with frequent tumour emboli and regional lymph node metastases was made.
|
Figure 1 (A) The intralobar sequestration appearing as an ill-defined firm area admixed with white and viable tumorous lesion | |||||||||
Relevant Article
- A patchy consolidation at the apical segment of the left lower lobe associated with productive cough
- Y-L Chang, C-T Wu, and Y-C Lee
Thorax 2008 63: 620.[Extract] [Full Text] [PDF]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
