PathWays Case Study: November 7

A ​middle-aged man presented with a 4 cm right upper lobe lung mass. By imaging, the mass involves one of the ribs and is destructive.

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Karamzadeh Dashti_Nooshin_13JU

Nooshin Karamzadeh Dashti, M.D.
Resident, Surgical Pathology
Mayo Clinic

 

 

Karen Fritchie, M.D.
Consultant, Division of Anatomic Pathology
Mayo Clinic
Associate Professor of Laboratory Medicine and Pathology
Mayo Clinic College of Medicine

 

Roden_Anja_C_14AP

Anja Roden, M.D.
Consultant, Division of Anatomic Pathology
Mayo Clinic
Associate Professor of Laboratory Medicine and Pathology,
Mayo Clinic College of Medicine

apriljosselyn

April Josselyn

April Josselyn is a Marketing Associate at Mayo Medical Laboratories. She is the editor of Mayo Clinic PathWays and supports corporate communications strategies and internal communications. She has worked at Mayo Clinic since 2012. Outside of work, April enjoys the outdoors and being "hockey mom" for her two sports-crazed boys.

Responses

Hello, I have a 4mm nodule in upper left lobe of lung, 5-2-17. On 32-13-15 it was 3mm.also a 4mm lower left lobe. 4mm nodule along fissure in right lung.subpleural 4mm nodule left lower lobe. What do you think?
Thank you

Hi Karen, unfortunately, we cannot discuss medical issues through this correspondence. If you would like to seek help from Mayo Clinic, please call one of our appointment offices (Arizona: 800-446-2279 Florida: 904-953-0853 Minnesota: 507-538-3270). Thank you.

Tough case. If “consult to Mayo” was a diagnostic choice, I probably would have chosen it. 🙂

in this case have you a molecular study?

Have you a molecular study in this case?
Are the spindle cell S100+?

Great case!

For learning purposes, were immunostains performed? It would be helpful to include immunostain slides for learning purposes.

GOOD

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