eISSN: 2084-9869
ISSN: 1233-9687
Polish Journal of Pathology
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
vol. 69
Case report

Quiz. What is your diagnosis?

I-Wei Chang
Mpendulo Felix Gule

Pol J Pathol 2018; 69 (3): 325-326
Online publish date: 2018/11/20
Article file
- 17-01372-Quiz_new.pdf  [3.07 MB]
Get citation
JabRef, Mendeley
Papers, Reference Manager, RefWorks, Zotero
A 40-year-old woman presented to our hospital with cough and hemoptysis for one week. She denied any systemic disease before but is a heavy smoker of 20 cigarettes per day for more than 20 years. She also had a personal history of fostering a dog at home. During the survey of the cause of these symptoms, chest plain film and computed tomography (CT) were performed. A focal cavitary mass lesion measuring 4.5 cm in diameter was noted at chest CT scan (Fig. 1). Either pulmonary tuberculosis or primary lung cancer was suspected. For definite diagnosis and symptom treatment, wedge resection of the lung mass lesion by video-assisted thoracoscopic surgery (VATS) was done by chest surgeon. Gross examination of the resected lung revealed a tan and solid nodule with necrosis and focal cavitation, measuring 4.3 × 4.2 × 4.0 cm (Fig. 2). Microscopically, the mass-like lesion exhibited granulomatous inflammation with central necrosis surrounded by epithelioid histiocytes (Fig. 3A and 3B). Inside the necrotic center, there were some dead and degenerated parasites (Fig. 3C and 3D).

I-Wei Chang1,2, Mpendulo Felix Gule3
1Department of Pathology, Taipei Medical University Hospital, Taipei, Taiwan
2Department of Pathology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
3Mbabane Government Hospital, Mbabane, Swaziland
Copyright: © 2018 Polish Association of Pathologists and the Polish Branch of the International Academy of Pathology This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (http://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Quick links
© 2021 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe