Case 154

Surgical Pathology Case
 

CLINICAL INFORMATION

  51 year-old male. History of synovial cell sarcoma of right femur. Left upper lobe mass.

GROSS DESCRIPTION

 

The specimen consists of a wedge resection of lung measuring 4.4 3.5 1.7 cm. A large bulging mass is present on the pleural surface which measures 2.5 2.3 0.7 cm. Sectioning through this mass reveals a pink-tan, fleshy appearance to the lesion.

     
 
 

HE, 10

HE, 20

 
 

HE, 40

HE, 40

 
 

HE, 40

HE, 20

   
 

HE, 40

 
     

CLINICAL INFORMATION

  Three years later, the patient had left lower pleural mass implant.

GROSS DESCRIPTION

 

The specimen consists of a single irregular tan-pink and brown fragment of soft tissue measuring 3.7 3.0 1.2 cm. There is a round, gelatinous, firm tumor implant in the center of the specimen measuring approximately 2.0 1.9 1.0 cm. Sectioning through the tumor reveals a soft tan homogenous tumor with a small area of peripheral hemorrhage.

 
  HE, 4 HE, 10
 
  HE, 20 HE,20
 
  HE, 40 HE, 40
     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan