A 63-year-old woman presented 8 years ago to the emergency room with right-sided chest pain. A CT scan revealed a 1.8 cm ileal mass and multiple liver nodules. The small bowel mass and one liver nodule were resected at that time. She continued to develop liver nodules requiring arterial embolization, a left neck nodule, and pleural effusions. She eventually succumbed to her disease. At autopsy, she had multiple nodules throughout the liver, heart, lungs, peritoneum, spleen, and bone marrow.
Justin Juskewitch, M.D., Ph.D.
Resident, Division of Anatomic and Clinical Pathology
Joseph Maleszewski, M.D.
Consultant, Division of Anatomic Pathology
Associate Professor of Laboratory Medicine and Pathology and Associate Professor of Medicine,
Mayo Clinic College of Medicine
Follow him on Twitter: @joemaleszewski