PMC5217919_01
Microscopic view of the bone marrow biopsy specimen. Pathologic diagnosis showed hyperplasia of granulocyte series, erythroid series, and megakaryocytes (hematoxylin-eosin x10).
TCA-8-57-g001.jpg
PMC5217919_01_TCA-8-57-g001.jpg
tca12398-fig-0001
Bone marrow aspiration was indicated, with an increased ratio of erythroid series and increased megakaryocytes, and a biopsy of the bone marrow from the iliac bone had a normal appearance on pathologic examination (Fig 1).
Chest computed tomography reveals (a) a 3.0 x 2.6 cm2 soft tissue density shadow in the lower lobe parenchyma of the left lung field, and (b) the lower lobe of the left lung resection.
TCA-8-57-g002.jpg
PMC5217919_01_TCA-8-57-g002.jpg
tca12398-fig-0002
A chest computed tomography (CT) scan on admission showed a 3.0 x 2.6 cm2 mass in the lower lobe of the left lung, with no mediastinal or intrapulmonary lymphadenopathy (Fig 2a). The patient was followed-up every three months for 10 months after the surgery, and chest CT (Fig 2b), cranial magnetic resonance imaging, and skeleton emission CT indicated no relapse or metastasis.
Microscopic view of the lung biopsy specimen. Pathologic diagnosis showed pulmonary adenocarcinoma (hematoxylin-eosin x10).
TCA-8-57-g003.jpg
PMC5217919_01_TCA-8-57-g003.jpg
tca12398-fig-0003
Histological subtyping was papillary predominant invasive adenocarcinoma (Fig 3).