Echocardiography in Imaging an Extremely Rare Cause of Extrinsic Pulmonary Stenosis: Rapidly Progressive Primary Mediastinal Embryonal Carcinoma  Ertuğrul.

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Echocardiography in Imaging an Extremely Rare Cause of Extrinsic Pulmonary Stenosis: Rapidly Progressive Primary Mediastinal Embryonal Carcinoma  Ertuğrul Zencirci, MD, Sabahattin Gündüz, MD, Aycan Esen Zencirci, MD, Nesrin Gündüz, MD, Gökhan Göl, MD, Murat Uğurlucan, MD  The Annals of Thoracic Surgery  Volume 94, Issue 5, Pages e113-e114 (November 2012) DOI: 10.1016/j.athoracsur.2012.04.126 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The scenogram obtained immediately before chest computed tomography imaging demonstrates a large, mass-like opacity (black arrows) located at the left side of the upper mediastinum. The Annals of Thoracic Surgery 2012 94, e113-e114DOI: (10.1016/j.athoracsur.2012.04.126) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 A transverse view thoracic contrast-enhanced computed tomography image shows the large, heterogenously enhanced, solid mass (white arrows) located at the anterosuperior mediastinum and compressing the junction of the main and left pulmonary arteries. The Annals of Thoracic Surgery 2012 94, e113-e114DOI: (10.1016/j.athoracsur.2012.04.126) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Embryonal carcinoma is characterized by a solid sheet of large, pleomorphic cells with glassy nuclei and prominent nucleoli and indistinct cellular borders (hematoxylin and eosin stain, original magnification ×200). The Annals of Thoracic Surgery 2012 94, e113-e114DOI: (10.1016/j.athoracsur.2012.04.126) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions