An accidental mass

Brooks, Matthew, Royse, Colin, Eisen, Damon, Sparks, Paul, Bhagwat, Krishna, and Royse, Alistair (2011) An accidental mass. The Lancet, 377 (9779). p. 1806.

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[Extract] In June, 2010, a 27-year-old Indian woman was brought to our emergency department after being hit by a car. She had pelvic fractures. A routine trauma CT series of the chest showed incidental right pulmonary nodules, hilar lymphadenopathy, and a large inferior mediastinal mass (figure A). The mass invaded the superior vena cava and right inferior pulmonary vein. Her body-mass index (BMI) was 16 kg/m², but the physical examination was otherwise unremarkable. Apart from recent weight loss, she had been well and was a non-smoker. The pelvic fractures were managed conservatively. The chest imaging suggested advanced malignancy. Bronchoscopy washings and an endobronchial ultrasound guided mediastinal biopsy sample showed no abnormalities, including Mycobacterium tuberculosis. A right thoracotomy showed extensive adhesions and a tumour-like infiltrate of the right lower lung lobe and mediastinum. Biopsy samples showed necrotising granulomatous inflammation and fungal hyphae.

Item ID: 51437
Item Type: Article (Case Study)
ISSN: 0140-6736
Date Deposited: 07 Nov 2017 00:08
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110309 Infectious Diseases @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 100%
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