PMC5461669_01
Contrast-enhanced CT-scan with detection of multiple hypodense pancreatic lesions
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PMC5461669_01_13569_2017_78_Fig1_HTML.jpg
Fig1
She was then submitted to a total-body contrast-enhanced TC-scan with detection of multiple hypodense pancreatic lesions (Fig. 1), bilateral hypodense renal lesions (Fig. 2) and bilateral lung lesions (Fig. 3).
Bilateral lung metastases at CT-scan
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PMC5461669_01_13569_2017_78_Fig3_HTML.jpg
Fig3
She was then submitted to a total-body contrast-enhanced TC-scan with detection of multiple hypodense pancreatic lesions (Fig. 1), bilateral hypodense renal lesions (Fig. 2) and bilateral lung lesions (Fig. 3).
Histologic features of the core-needle biopsy. The lesion was constituted of malignant smooth muscle fascicles, as demonstrated by the immunohistochemistry for smooth muscle actin (SMA) and pool cytokeratin (CK, which is shown to have a positive control on the normal lung parenchyma left)
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PMC5461669_01_13569_2017_78_Fig4_HTML.jpg
Fig4
The biopsy (Fig. 4) was constituted of lung parenchyma invaded by a population of fusiform elements with marked nuclear pleomorphism, hyperchromasia and high mitotic activity growing in a fascicular pattern.