PMC2902217_01
Chest X ray PA view (2006) shows homogenous opacity in right mid and lower zone
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Chest X-ray showed lobulated homogenous opacity occupying the right mid-zone and lower zone [Figure 1].
CT chest (2006 ) shows anterior mediastinal mass extending into right side of chest
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CECT chest showed anterior mediastinal mass with extension into right side of chest [Figure 2].
Low power view of thymic seminoma showing fibrous septae
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Histopathology of the specimen showed seminoma of thymus [Figures 3 and 4].
High power view of thymic seminoma showing fibrous septa infiltrated by lymphocytes and plasma cells, large amounts of cytoplasmic glycogen and an irregular skein like nucleolus
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Histopathology of the specimen showed seminoma of thymus [Figures 3 and 4].
Immunohistochemistry showing placental alkaline phosphatase staining
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The result of the test for placental alkaline phosphatase was positive [Figure 5].
Chest X ray PA view (2007) shows superior mediastinal widening with homogenous opacity in right mid and lower zone
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Chest X-ray showed superior mediastinal widening with homogenous opacity in the right mid and lower zone [Figure 6].
CT chest (2007 ) shows recurrence of anterior mediastinal mass extenting into right side of chest
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CECT chest showed an anterior mediastinal mass extending into middle mediastinum with subpleural metastases to posterior segment of right lower lobe [Figure 7].
CT abdomen (2007) shows multiple para aortic lymphadenopathy
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Contrast enhanced Computed tomography (CECT) abdomen showed extrinsic compression of liver by subpleural metastases with multiple para-aortic and peri-aortic lymphadenopathies [Figure 8].
Chest X ray PA view (2008 - post chemo) - disappearance of mass
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After four courses of chemo, complete disappearance of the mediastinal mass and lung metastatic lesions and reduction of abdominal lymph nodes to sub-centimeter size were noted [Figures 9-11].
CT chest (2008) shows complete disappearance of the mass after chemo
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After four courses of chemo, complete disappearance of the mediastinal mass and lung metastatic lesions and reduction of abdominal lymph nodes to sub-centimeter size were noted [Figures 9-11].
CT abdomen (2008) shows reduction of para aortic lymphnodes to sub centimeter size after chemo
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After four courses of chemo, complete disappearance of the mediastinal mass and lung metastatic lesions and reduction of abdominal lymph nodes to sub-centimeter size were noted [Figures 9-11].