PMC8053494_01
Chest CT on admission. The lung window of the left upper lobar bronchus level (A), the left lung basal trunk bronchus level (C) and the basal vein level (D). The white arrow indicated the lobular mass with heterogeneous enhancement on mediastinal window in the right hilar region (B).
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Lesions did not demonstrate any cavitary, fiber, strips, and calcified shadow changes (Figure 1).
Microscopic findings. The squamous cell carcinoma cells in multiple areas (A) and tuberculous necrosis inflammation (B). (Hematoxylin-eosin stain, x200).
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Pathologic results by the TBLB revealed the mass in the right hilar region as chronic inflammation with necrosis, and the DNA fragment of Mycobacterium tuberculosis (Mtb) was found in the specimen (Figure 2). Thus, the patient received a CT-guided percutaneous lung biopsy at the periphery of the same mass (Figure 3). The pathology showed a poorly differentiated squamous cell carcinoma (Figure 2).
CT-guided percutaneous lung biopsy. The second specimen was obtained at the peripheral site of the mass.
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Thus, the patient received a CT-guided percutaneous lung biopsy at the periphery of the same mass (Figure 3). The pathology showed a poorly differentiated squamous cell carcinoma (Figure 2).