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Case Reports
. 2014 Dec 10;5(5):1113-6.
doi: 10.5306/wjco.v5.i5.1113.

Adult pulmonary blastoma: Report of an unusual malignant lung tumor

Affiliations
Case Reports

Adult pulmonary blastoma: Report of an unusual malignant lung tumor

Prospero Magistrelli et al. World J Clin Oncol. .

Abstract

Pulmonary blastoma is an uncommon lung malignancy, usually presenting itself as a large chest mass causing pain, hemoptysis, cough and dyspnea; however, it is asymptomatic in up to 40% of patients. We present the case and suggestive images of a 37-year-old non-smoking lady with a monophasic pulmonary blastoma located in the lower lobe of the left lung who underwent a left posterolateral thoracotomy with lower lobectomy, hilar and mediastinal node dissection, followed by chemo and radiation therapy. After 36 mo, there is no disease progression and the patient is in good health, clinically stable and without significant chest pain.

Keywords: Fetal adenocarcinoma; Lobectomy; Pleuropulmonary blastoma; Pulmonary blastoma; Thoracotomy.

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Figures

Figure 1
Figure 1
Computed tomography/positron emission tomography scan. A: CT-PET scan showing the large round mass in the left basal hemithorax; B: CT-PET scan showing a frontal vision of the mass inside the chest. CT-PET: Computed tomography/positron emission tomography.
Figure 2
Figure 2
A left posterolateral thoracotomy with lower lobectomy. A: Macroscopic vision of the large tumor infiltrating the left lower lobe; B: The cutting surface of the large tumor inside the left lower lobe.
Figure 3
Figure 3
Monophasic pulmonary blastoma. A: Microscopic appearance of cytology in monophasic pulmonary blastoma; B: Monophasic pulmonary blastoma: Prevalence of epithelial on mesenchymal elements.

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