PMC6260452_01
Chest CT revealed the presence of a right mediastinal mass combined with an enlarged right lymph node and left pleural effusion CT: computed tomography.
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Chest computed tomography (CT) revealed the presence of a right mediastinal mass combined with an enlarged ipsilateral lymph node and left pleural effusion (Fig. 1).
Thoracoscopic examination revealed the presence of multiple white small nodules on the left precordial parietal pleura (a) and a coral-shaped nodule on the diaphragm (b).
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Thoracoscopic examination revealed the presence of multiple white small nodules on the left precordial parietal pleura and left diaphragm, and a coral-shaped nodule on the diaphragm (Fig. 2).
Chest CT showed right bronchial obstruction due to the enlarged right mediastinal lymph node and bronchial tumor. However, it did not show thickening of the left pleura. CT: computed tomography.
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An examination using CT prior to the patient's death showed right bronchial obstruction caused by the tumor, combined with enlargement of the mediastinal lymph node (Fig. 3). However, it did not show thickening of the left pleura (Fig. 3).
Epithelioid malignant mesothelioma in the left parietal pleura detected at autopsy. (x10) (a) HE, hematoxylin and eosin; (b) Calretinin (c) TTF-1, thyroid transcription factor-1.
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Moreover, these cells infiltrated the fibrous pleural tissue (Fig. 4, Fig. 5).
Lung adenocarcinoma forming a right mediastinal mass detected at autopsy. (x10) (a) Calretinin (b) TTF-1, thyroid transcription factor-1.
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TTF-1 and negative for calretinin (Fig. 6). The patient was diagnosed with right lung adenocarcinoma and lymph node metastasis.