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Case 316

Surgical Pathology Case
 

CLINICAL INFORMATION

 

A 52-year-old male, who in workup for preparation of left hand surgery, was found to have an abnormal chest x-ray, leading to a CT scan that showed a 2.6 cm speculated lesion in the superior segment of the right upper lobe, which was suspicious for carcinoma.

GROSS DESCRIPTION

 

The segmentectomy specimen measures 8.5 × 3.0 × 1.0 cm and weighs 26.2 grams. Serially sectioning through the specimen reveals a well demarcated mass measuring 2.0 in greatest dimension. The mass is 0.2 cm underneath the pleural surface.

     
 
 

HE, 10×

HE, 20×

 
 

HE, 20×

HE, 20×

 
 

HE, 20×

HE, 20×

     
 

Click here for diagnosis and discussion.

 

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

Photo: Zenggang Pan

Discussion: Zenggang Pan