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IMAGE OF THE MONTH The Case of the Missed Chest Radiograph Bilateral Mammary Gland Metastases Mimicking Multifocal Primary Breast Cancer as the Initial Manifestation of Non–Small-Cell Lung Cancer Giannis Mountzios, MD, PhD,* Anastasios Gyftopoulos,† Eleni Vlotinou,‡ and Nikolaos Kentepozidis, MD, PhD* 53-year-old, postmenopausal, female never smoker of time, multiple nodular lesions were observed in the left thoracic A Caucasian descent, presented with a palpable mass in her left wall, in front of the major pectoralis muscle, with the largest one breast discovered during self-examination. She had not under- corresponding to the fixed breast mass that was reported as the gone screening mammography for the last 3 years before presen- presenting sign of the patient (Fig. 3C, white arrows). A subse- tation and had no family history of breast or ovarian cancer. On quent computed tomography-guided biopsy of the thoracic mass palpation, the mass was solid and firmly attached to the thoracic confirmed the diagnosis of a poorly differentiated adenocarci- wall. Mammography of the left breast indicated the presence of a noma of the lung with a high mitotic index and a positive stain for multilobular mass measuring 3.1 × 2.8 cm in the lower-inner quad- TTF1. Morphological and immunohistochemical features of the rant and a
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Nov 1, 2014
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