PMC3168384_01
(a) A CT of the thorax revealing a spiculated right upper lobe lung mass. (b) A CT of the abdomen showing ileocecal intussusception.
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Subsequent computed tomography (CT) of the chest showed the presence of a 1.9 x 1.6 cm spiculated mass in the right upper lobe suspicious for a neoplasm (Figure 1(a)), with consolidation involving the left lower lobe.  A CT scan of the abdomen revealed cecal colitis with ileocecal intussusception (Figure 1(b)).
(a) Gross pathology of the surgically resected bowel after right hemicolectomy and ileocolic anastomosis. (b) Histological examination of the cecal tumor, revealing metastatic invasion from pleomorphic carcinoma of lung origin.
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A right hemicolectomy with ileocolic anastomosis was performed, and the resected specimen (Figure 2(a)) was sent for histological examination. Surgical pathology revealed metastatic pleomorphic carcinoma of lung origin with giant cell and spindle cell features (Figure 2(b)).