PMC1173139_01
Posterior-anterior view of a chest X-ray film demonstrated a huge mass shadow in the left upper lung field.
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F1
The patient's chest X-ray demonstrated a huge mass lesion in the left upper lung field (Figure 1).
Pathological findings of the left lung. The section consists of a diffuse proliferation of atypical, giant and bizarre cells (arrowhead). No sarcomatoid component is seen.
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F2
A histological examination revealed pure giant cell carcinoma containing no sarcomatoid component, similar to that found in the small intestine (Figure 2).
Computerised tomographic scan before and after treatment. A) Abdominal CT showed multiple lymph node swelling, suggesting the presence of metastases (arrowhead). B) Abdominal CT showed the lymph nodes metastases to have completely disappeared.
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F3
About 6 months later, metastases in multiple abdominal lymph nodes were found (Figure 3A). After receiving a total of 10 cycles of chemotherapy on an outpatient basis, abdominal CT showed the chemotherapeutic effect to be a complete response (Figure 3B), without any severe hematological or non-hematological adverse events. At present, the patient has survived for about 3-years since the first operation and a complete response has been maintained for 15 months.