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Images in thorax
Primary mediastinal small cell melanoma achieved by EBUS-TBNA
  1. Sebastian Fernandez-Bussy1,
  2. Gonzalo Labarca2,
  3. Alex Castro3,
  4. Ivan Caviedes4
  1. 1Unit of Interventional Pulmonology, Clinica Alemana- Universidad del Desarrollo, Santiago, Chile
  2. 2Department of Internal Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile
  3. 3Department of Pathology, Clínica Alemana- Universidad del Desarrollo, Santiago, Chile
  4. 4Department of Respiratory Medicine, Clínica Alemana- Universidad del Desarrollo, Santiago, Chile
  1. Correspondence to Dr Sebastian Fernandez-Bussy, Manquehue Norte 1410, Vitacura, Santiago, Chile; sfernandezbussy{at}

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A 54-year-old woman, heavy smoker (30 packs/year) presented with 1-month of dry cough, in association with intermittent mild haemoptysis. She denied other complaints, has no remarkable medical problems and was not on any medications.

She looked well, and physical examination was normal. Chest X-ray showed a mediastinal mass, and chest CT scan confirmed a heterogeneous pretracheal mass extended from the upper third down to the main carina. PET-CT scan demonstrated increased standardised uptake values, without extra mediastinal involvement (figure 1).

Figure 1

Chest CT scan showed a heterogeneous mediastinal mass. PET-CT scan …

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