PMC6001923_01
Face edema.
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Fifteen days prior to admission, she developed periorbital edema that slowly progressed to the entire face (Figure 1), neck, upper right extremity, upper trunk and both breasts.
(A) Right rotator cuff mass (arrow) with scapular bone destruction. (B) Superior vena cava thrombosis (arrow head). (C) Pulmonary nodules.
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Moreover, bilateral lung nodules were found compatible with metastasis, as was a mass in the right rotator cuff muscles with scapular bone destruction (Figure 2).
Histology and immunohistochemistry of the tumor. (A) Wright's and Giemsa staining. (B) CD34 staining. (C) Smooth muscle actin (SMA). (D) Desmin. (E) Ki-67 protein.
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The pathology exam identified sarcoma which was confirmed by immunohistochemistry staining (Figure 3).