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Chest clinic
Images in thorax
Unusual aetiology of a hilar mass in a man with history of thyroid cancer
  1. Macarena R Vial1,2,
  2. John Stewart3,
  3. Donald R Lazarus1,
  4. George A Eapen1,
  5. David E Ost1,
  6. Horiana B Grosu1,
  7. Carlos A Jimenez1
  1. 1Department of Pulmonary Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA
  2. 2Department of Pulmonary Medicine, Universidad del Desarrollo, Clínica Alemana de Santiago, Chile
  3. 3Department of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA
  1. Correspondence to Dr Carlos A Jimenez, Department of Pulmonary Medicine, The University of Texas M. D. Anderson Cancer Center, 400 Pressler Drive, Unit 1462, Houston, TX 77030-4008, USA; cajimenez{at}mdanderson.org

https://doi.org/10.1136/thoraxjnl-2016-208748

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    A 39-year-old male non-smoking lumberyard worker from northern Mississippi was referred for evaluation of a left lower lobe mass. He had been treated 4 years earlier for papillary thyroid cancer with thyroidectomy and radioactive iodine ablation. Neck dissection after treatment showed 5/54 nodes with metastases and 3 nodes with granulomatous inflammation. He had been followed without evidence of recurrent malignancy until a CT obtained during a respiratory infection showed a left lower lobe mass extending to the hilum …

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    Footnotes

    • Contributors MRV and DRL drafted the article. JS contributed with cytology images and interpretation. HBG worked on image design. GAE, CJA and DO did a critical revision and editing of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

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