PMC3626391_01
Chest X-ray showing a mass in the left upper lung field (Palla's sign).
CRIM.PULMONOLOGY2013-160619.001.jpg
PMC3626391_01_CRIM.PULMONOLOGY2013-160619.001.jpg
fig1
Chest X-ray showed moderate enlargement of right atrium and dilatation of right descending pulmonary artery (Palla's sign) (Figure 1). Right ventricle and right atrium strain and enlargement, mild pericardial effusion, and right sided pleural effusion were seen (Figure 1).
CT scan showing lobulated heterogeneous left hilar mass.
CRIM.PULMONOLOGY2013-160619.002.jpg
PMC3626391_01_CRIM.PULMONOLOGY2013-160619.002.jpg
fig2
The CT scan suggested malignant tumoral lesion like lymphoma, angiosarcoma, or bronchogenic carcinoma (Figure 2).
The intimate relationship of the tumor cells with the vessel walls is a clue to the diagnosis of leiomyosarcoma.
CRIM.PULMONOLOGY2013-160619.003.jpg
PMC3626391_01_CRIM.PULMONOLOGY2013-160619.003.jpg
fig3
Pathological diagnosis confirmed leiomyosarcoma limited to pulmonary (Figures 3, 4, and 5).
Cytologic features of leiomyosarcoma showing eosinophilic cytoplasm and blunt-ended nuclei.
CRIM.PULMONOLOGY2013-160619.004.jpg
PMC3626391_01_CRIM.PULMONOLOGY2013-160619.004.jpg
fig4
Pathological diagnosis confirmed leiomyosarcoma limited to pulmonary (Figures 3, 4, and 5).
Cytologic features of leiomyosarcoma showing perinuclear vacuoles.
CRIM.PULMONOLOGY2013-160619.005.jpg
PMC3626391_01_CRIM.PULMONOLOGY2013-160619.005.jpg
fig5
Pathological diagnosis confirmed leiomyosarcoma limited to pulmonary (Figures 3, 4, and 5).