WSI22-75: Mystery Case

From MGH Learn Pathology


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

Case 1


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

Case 2


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

Case 3


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

Case 4


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

Case 5


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