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CASE 7

Age: 33,  Sex: Male

Clinical History:  History of recurrent respiratory tract infections during the last year.  Four (4) month ago, a rounded pulmonary lesion was detected in the left  upper lung on a chest X-ray. Repeated pulmonary radiological examinations revealed no further growth of the lesion. Patient started to complain of aches in left upper thorax one month ago and broncoscopy is performed which was normal.  Further, the patient had left explorative thoracoscopy  with excision of  a tumor next to the parietal pleura.  Macroscopically the excised tissue measured 50 x 30 mm with an adherent tuberous tumor of 35 x 30 x 25 mm in size. The cross section surface appeared russet to brownish with centrally gray area of 8 mm in diameter.  Apparently, the tumor was excised completely.

Working Diagnosis: Hyperplastic lymph node

What would be your diagnosis?

Send your answers to: Prof. Martin Hubert, MD

Case presented by:

Prof. Martin Hubert, MD
Lichtenberg Hospital Berlin, Fanningerstr. 32,
10365 Berlin, Germany

 

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