PMC7232044_01
Sagittal section from the computed tomography (CT) scan of chest, abdomen,
and pelvis taken in August 2018 demonstrating widespread boney metastatic
deposits particularly affecting the sternum and vertebral bodies.
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PMC7232044_01_10.1177_2324709620918080-fig1.jpg
fig1-2324709620918080
Imaging with computed tomography (CT) confirmed extensive disseminated malignancy with nodal, pleural, peritoneal, liver, and renal metastases (Figure 1).
Photomicrographs "A" and "B" are from the supraclavicular fossa nodal biopsy.
"A" shows poorly differentiated carcinoma. "B" shows staining for
alpha1-antichymotrypsin. Photomicrographs "C" and "D" are from his original
parotidectomy specimen. "C" shows appearances of acinic cell carcinoma. "D"
demonstrates immunostaining with focal expression of ACTH (as indicated by
the red arrow).
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PMC7232044_01_10.1177_2324709620918080-fig2.jpg
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Biopsy from a supraclavicular fossa node showed poorly differentiated carcinoma infiltrating within fat (Figure 2).