DZI20-197-Case-6

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Clinical history

75 yo M with multiple lung nodules

Diagnosis

FX1 (RML wedge): benign intraparenchymal lymph node, no carcinoma seen. FX2 (RUL subpleural nodule): adenocarcinoma with features suggestive of metastasis, FX2A (RUL dominant mass): Adenocarcinoma with papillary, micropapillary and acinar patterns. Final: FX1: one benign intrapulmonary lymph node. FX2: Multiple foci of metastatic prostatic adenocarcinoma FX2A: Papillary adenocarcinoma of the lung (lepidic 30%, acinar mod diff 20%, papillary 45%, micropapillary 5%)

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Sequence	Case	Clinical history	Diagnosis
1	DZI20-197-Case-1 DZI20-197-Case-1	65 yo F with RUL mass 65 yo F with RUL mass	FX: adenocarcinoma, predominantly lepidic, focally extending to inked parenchymal margin Final: minimally invasive adenocarcinoma (95% lepidic, 5% acinar well-diff) FX: adenocarcinoma, predominantly lepidic, focally extending to inked parenchymal margin Final: minimally invasive adenocarcinoma (95% lepidic, 5% acinar well-diff)
2	DZI20-197-Case-2 DZI20-197-Case-2	63 yo M with mediastinal lymphadenopathy 63 yo M with mediastinal lymphadenopathy	poorly differentiated carcinoma favor small cell permanent: metastatic small cell carcinoma poorly differentiated carcinoma favor small cell permanent: metastatic small cell carcinoma
3	DZI20-197-Case-3 DZI20-197-Case-3	46 yo M with round lingula lesion 46 yo M with round lingula lesion	hamartoma, benign final: hamartoma, 1.5 cm with surgical clearance of 0.5 cm hamartoma, benign final: hamartoma, 1.5 cm with surgical clearance of 0.5 cm
4	DZI20-197-Case-4 DZI20-197-Case-4	74 yo F with a pleural effusion 74 yo F with a pleural effusion	atypical epithelioid cells infiltrating skeletal muscle, favor mesothelioma final: malignant mesothelioma, epithelioid type atypical epithelioid cells infiltrating skeletal muscle, favor mesothelioma final: malignant mesothelioma, epithelioid type
5	DZI20-197-Case-5 DZI20-197-Case-5	69 yo F with a LUL mass 69 yo F with a LUL mass	poorly diff carcinoma (?neuroendocrine) final: LCNEC poorly diff carcinoma (?neuroendocrine) final: LCNEC
6	DZI20-197-Case-6 DZI20-197-Case-6	75 yo M with multiple lung nodules 75 yo M with multiple lung nodules	FX1 (RML wedge): benign intraparenchymal lymph node, no carcinoma seen. FX2 (RUL subpleural nodule): adenocarcinoma with features suggestive of metastasis, FX2A (RUL dominant mass): Adenocarcinoma with papillary, micropapillary and acinar patterns. Final: FX1: one benign intrapulmonary lymph node. FX2: Multiple foci of metastatic prostatic adenocarcinoma FX2A: Papillary adenocarcinoma of the lung (lepidic 30%, acinar mod diff 20%, papillary 45%, micropapillary 5%) FX1 (RML wedge): benign intraparenchymal lymph node, no carcinoma seen. FX2 (RUL subpleural nodule): adenocarcinoma with features suggestive of metastasis, FX2A (RUL dominant mass): Adenocarcinoma with papillary, micropapillary and acinar patterns. Final: FX1: one benign intrapulmonary lymph node. FX2: Multiple foci of metastatic prostatic adenocarcinoma FX2A: Papillary adenocarcinoma of the lung (lepidic 30%, acinar mod diff 20%, papillary 45%, micropapillary 5%)
7	DZI20-197-Case-7 DZI20-197-Case-7	57 yo F with GGO 57 yo F with GGO	Organizing pneumonia. No malignancy identified. Final: organizing pneumonia with fibrosis and lymphoid aggregates. Organizing pneumonia. No malignancy identified. Final: organizing pneumonia with fibrosis and lymphoid aggregates.
8	DZI20-197-Case-8 DZI20-197-Case-8	69 yo F with lung mass 69 yo F with lung mass	Consistent with small cell carcinoma final: small cell carcinoma Consistent with small cell carcinoma final: small cell carcinoma
9	DZI20-197-Case-9 DZI20-197-Case-9	69 yo F with RML mass 69 yo F with RML mass	carcinoid final: carcinoid, typical carcinoid final: carcinoid, typical
10	DZI20-197-Case-10 DZI20-197-Case-10	62 yo F with lung mass 62 yo F with lung mass	metastatic osteosarcoma final: metastatic osteosarcoma metastatic osteosarcoma final: metastatic osteosarcoma

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