WSI22-75: Mystery Case
From MGH Learn Pathology
Request details
- Request type Faculty
- Subspecialty Pulmonary Pathology
- Topic Mystery Case
- Presenter Mino-Kenudson, Mari,MD
- Date and time Monday, June 27, 2022 12:00 PM
Case | Clinical history | Requester |
---|---|---|
Case | Clinical history | Requester |
| A 54-year-old man with a primary diagnosis of rectal carcinoma was found to have multiple lung lesions and a FDG avid (SUV 3.8) nodule in the anterior mediastinum during work-up. Lung lesions were proven to be metastases from the rectal primary by biopsy. However • it was felt that the anterior mediastinal nodule was atypical for a metastasis from the rectal primary; thus • he underwent the resection of the mediastinal nodule. | Mm768 |
| A 52-year-old woman with a history of uterine carcinoma was found to have a mass in the right upper lobe by chest X-ray. | Mm768 |
| A 72-year-old man • former smoker • with history of lung cancer and colon cancer was found have a FDG avid • 1.1 cm level 2R paratracheal lymph node by imaging studies. Bronchoscopic ultrasound-guided biopsy was performed. | Mm768 |
| A 58-year-old woman • former smoker • was incidentally found to have a subpleural • paramediastinal nodule in the right middle lobe by CT scan. She underwent VATS wedge resection. | Mm768 |
| A 22-year-old woman presented at ER with symptoms related to urinary tract infection and was found to have a 2.7 x 2.5 cm lobulated and spiculated nodule in the right upper lobe and right hilar and paratracheal lymphadenopathy by CT scan. Subsequent transbronchial biopsy showed bronchial mucosa with organizing fibrosis • partially crushed • chronic inflammatory infiltrate • and no evidence of malignancy. | Mm768 |