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Thorax 2005;60:356 doi:10.1136/thx.2004.036509
  • Images in Thorax

Pulmonary adenocarcinoma presenting as a giant pleural mass

  1. K Kaira1,
  2. A Takise1,
  3. G Kobayashi1,
  4. M Kamiyoshihara1,
  5. M Mori2
  1. 1Maebashi Red Cross Hospital, Gunma, Japan
  2. 2First Department of Internal Medicine, Gunma University, Gunma, Japan
  1. Correspondence to:
    Dr K Kaira
    Maebashi Red Cross Hospital, Department of Respiratory Medicine, 3-21-36 Asahi-cho, Maebashi, Gunma 377-0014, Japan; k-kairamaebashi.jrc.or.jp

    A 57 year old female non-smoker with no asbestos exposure was admitted with right chest pain and fever. Magnetic resonance imaging revealed a huge mass occupying the right hemithorax (fig 1). She underwent right posterolateral thoractomy following a negative bronchoscopic examination with transbronchial lung biopsy and transthoracic needle biopsy. A giant, well circumscribed, lobulated solitary tumour 13 cm in diameter attached with a pedicle to the visceral pleura was surgically removed (fig 2A). Macroscopically, the tumour was nearly protruding …

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