Clinical-pathologic conference in general thoracic surgery: metastatic placental site trophoblastic tumor G.Alexander Patterson, MD The Journal of Thoracic.

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Clinical-pathologic conference in general thoracic surgery: metastatic placental site trophoblastic tumor G.Alexander Patterson, MD The Journal of Thoracic and Cardiovascular Surgery Volume 127, Issue 3, Pages 885-890 (March 2004) DOI: 10.1016/j.jtcvs.2003.07.033

Figure 1 Chest radiograph showing collapse of right lung with pneumothorax catheter in place. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)

Figure 2 CT scan 4 days after transfer shows pneumothorax and cystic lesion in right lung base. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)

Figure 3 Tumor shows mixed or mucinous background, composed of cells with abundant eosinocytic cytoplasm, and nuclei that are large and condensed. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)

Figure 4 Higher-power view than in Figure 4 reveals prominent nuclei. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)

Figure 5 Evidence of vascular invasion by the tumor. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)

Figure 6 Weakly positive immunostaining for HCG. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)

Figure 7 Strongly positive immunostaining for placental alkaline phosphatase. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)

Figure 8 Fluorodeoxyglucose positron emission tomographic (FDG PET) scan taken January 28, 2002. Nothing is seen in region of right lower lobe lesion. Some uptake in uterus is as expected in postpartum patient. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 885-890DOI: (10.1016/j.jtcvs.2003.07.033)