PMC3283520_01
The abdominal computerized tomography scan revealed intestinal obstruction (a) and a mass measuring of 6.0 cm x 6.0 cm in size which showed enhancement in intensified tomography near the left adrenal gland (b).
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F1
The abdominal computerized tomography (CT) (Figure 1) scan revealed intestinal obstruction and a mass of 6.0 cm x 6.0 cm in size which showed enhancement in contrast-enhanced CT near the left adrenal gland.
The chest computerized tomography scan showed a 2.7 cm x 2.7 cm lobulated mass at the upper left lung with localized pneumonia changes.
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F2
The chest CT (Figure 2) scan showed a 2.7 cm x 2.7 cm lobulated mass at the upper left lung with localized pneumonia changes.
Microscopic images of lung biopsy (a) hematoxylin-eosin staining x 100, showing large, undifferentiated tumor cells with rhabdoid variant; (b) immunoperoxidase x 400 showing CK7 immunoreactivity of cancer cells.
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F3
A CT-guided core needle biopsy of the lung mass confirmed the diagnosis of large cell carcinoma of the lung(Figure 3).
The abdominal computerized tomography scan revealed metastatic tumor mass of jejunum (a and b).
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F4
The abdominal computerized tomography scan revealed metastatic tumor mass of jejunum (Figure 4).
Microscopic images of jejunum resection (a) hematoxylin-eosin staining, x 100 showing groups of large anaplastic tumor cells invading the lamina serosa; (b) immunoperoxidase x 400 showing CK7 cytoplasmic positivity on a jejunum resection tissue.
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F5
Post-operative pathological analysis of the surgical specimen showed the presence of poorly differentiated carcinoma with rhabdoid differentiation (Figure 5).