PMC4723023_01
Chest CT showing the lesion.. Abbreviation: CT, computed tomography.
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A chest computed tomography (CT) demonstrated thickness of the pleura anteriorly, at the right side, near the heart (Figure 1).
Surgical evidence.. Notes: (A) The tumor excised en-bloc with part of the adjacent ribs and manubrium. (B) The mesh covering the defect before closure of the surgical wound.
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The tumor was excised en-bloc with part of the manubrium and parts of the ribs and costochondral joints adjacent to it (fifth, sixth, seventh) (Figure 2A). The defect was covered with a mesh and the wound was closed in layers over two chest tubes (one in the mediastinum and the other in the right pleural cavity) connected to a thoracic drainage device (Bulau) (Figure 2B).
Metastatic melanoma, H&E stain, x40.. Abbreviation: H&E stain, hematoxylin and eosin stain.
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During his follow-up 2 weeks later, the wound had healed well and the patient had no symptoms (Figure 3).