Spontaneous Pneumothorax and Lung Carcinoma: Should One Consider Synchronous Malignant Pleural Mesothelioma? Trevor A. Flood, MD, Harman S. Sekhon, MD,

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Presentation transcript:

Spontaneous Pneumothorax and Lung Carcinoma: Should One Consider Synchronous Malignant Pleural Mesothelioma? Trevor A. Flood, MD, Harman S. Sekhon, MD, PhD, Jean M. Seely, MD, Farid M. Shamji, MD, Marcio M. Gomes, MD, PhD Journal of Thoracic Oncology Volume 4, Issue 6, Pages 770-772 (June 2009) DOI: 10.1097/JTO.0b013e3181a52c3f Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 A, Axial computed tomography (CT) image through the upper lobes demonstrates a large mass in the right upper lobe (black arrows) obliterating the posterior segmental bronchus of the right upper lobe. There is a large right hydropneumothorax. Note the smooth visceral pleural thickening (white arrows) suggestive of visceral pleural tumor seeding. B, Coronal reformatted CT image obtained with contrast demonstrates the large right upper lobe tumor (white arrows) and the large right pleural effusion. No parietal pleural thickening or nodularity is identified. Journal of Thoracic Oncology 2009 4, 770-772DOI: (10.1097/JTO.0b013e3181a52c3f) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 Histologic features of the undifferentiated carcinoma demonstrating large pleomorphic cells (arrows) and an atypical mitosis (arrowhead) (hematoxylin and eosin, ×200). Journal of Thoracic Oncology 2009 4, 770-772DOI: (10.1097/JTO.0b013e3181a52c3f) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3 Epithelioid malignant mesothelioma invading into the submesothelial parietal adipose tissue (hematoxylin and eosin, ×200). Journal of Thoracic Oncology 2009 4, 770-772DOI: (10.1097/JTO.0b013e3181a52c3f) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions