| 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. | ||
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| HE, 10× | HE, 20× | |
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| 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. | ||
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| HE, 4× | HE, 10× | |
 |  | |
| HE, 20× | HE,20× | |
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| HE, 40× | HE, 40× | |
| Source: Department of Pathology, Creighton University Medical Center, Omaha, NE Photo: Zenggang Pan Discussion: Zenggang Pan | ||