PMC4930236_01
Gangrenous digits of the patient.
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By this time the node had increased in size and developed into a fungating growth (Figures 1 and 2).
Ulcerated jugulodigastric node.
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By this time the node had increased in size and developed into a fungating growth (Figures 1 and 2).
Diagnostic flowchart for Raynaud's Phenomenon.. Notes: * Refers to polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and Skin changes. It is a rare multisystemic disease that occurs in the setting of a plasma cell dyscrasia.
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Histological specimen of jugulodigastric lymph node. Notes: (A) Biopsy from the ulcerated jugulodigastric node showing spindle cell carcinoma. (B) Cytology smear from the ulcerated jugulodigastric node showing spindle cell carcinoma.
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Fine needle aspiration cytology and the impression smear showed metastasis from the squamous cell carcinoma (Figure 4).
Lymphangitis carcinomatosis involving the right lobe and mediastinal adenopathy.
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Radiological evidence of metastasis in the lungs shown in figure 5.