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Images in Thorax
Pulmonary dirofilariasis in a Caucasian patient with metastasised osteosarcoma in a non-endemic European region
  1. L H Schmidt1,
  2. U Dirksen2,
  3. I Reiter-Owona3,
  4. C Khurana4,
  5. K Wiebe5,
  6. R Wiewrodt1,
  7. T Spieker6
  1. 1Department of Medicine A, Pulmonary Division, University Hospital Münster, Münster, Germany
  2. 2Department of Pediatric Hematology and Oncology, University Children's Hospital Münster, Münster, Germany
  3. 3Institute of Medical Microbiology, Immunology and Parasitology, University Clinic Bonn, Bonn, Germany
  4. 4Pediatric Oncology, Evangelisches Hospital Bielefeld, Bielefeld, Germany
  5. 5Chest, Heart, and Vascular Surgery, University Hospital Münster, Münster, Germany
  6. 6Gerhard-Domagk Institute of Pathology, University Hospital Münster, Münster, Germany
  1. Correspondence to Lars Henning Schmidt, Department of Medicine A, Pulmonary Division, University Hospital Münster, 48149 Münster, Germany; larshenning.schmidt{at}ukmuenster.de

https://doi.org/10.1136/thx.2010.142323

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    A 22-year-old Caucasian man with a history of metastatic chondroblastic osteosarcoma was wedge resected via open thoracotomy after surveillance follow-up in 2009 revealed suspicious multifocal bipulmonary lesions on a CT scan (figure 1). Five years previously, neoadjuvant and adjuvant chemotherapy according to the COSS 96 protocol1 had been given. Surveillance follow-up in 2009 showed new multifocal partly calcified pulmonary lesions in both lower lobes. Histologically, the resected …

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    Footnotes

    • RW and TS share the senior authorship of this manuscript.

    • Competing interests None.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.