February 1, 1998

Is it a Carcinoma or a Lymphoma?

Jo Ann Piratzky, M. D.
Karlene Hewan-Lowe, M.D.

Department of Pathology
Emory Clinic at Crawford Long
Atlanta, GA 30335

 khewanl@emory.edu

 

 
Sections
Clinical History
Light Microscopy
Flow Cytometry
Electron Microscopy
Diagnosis
Discussion
Readers' Comments
Reader Feedback

Clinical History
Clinical Presentation
A 41 year old steel-worker presented with the clincial complaint of hemoptysis. Physical examination demonstrated minimal respiratory distress and a liver that was palpable at 7.0 cm below the right costal margin.

Laboratory Data:
WBC 7.6, Hgb 12.5, Hct 39.0, Total Protein 9.5, Albumin 4.1, BUN 46, Creatinine 0.9, LDH 335, SGOT/AST 30, Alk Phos 135.

Radiographic Studies
CXR: Widening of the mediastinum due to a mediastinal mass was present.

Chest CT Scan: An anterior mediastinal mass was present. In addition, there was a left lower lobe infiltrate and a left sided pleural effusion.
Clinical Diagnoses
a. Hemoptysis
b. Lymphoma.
Hospital Course
Bronchoscopy revealed no endobronchial lesions. The patient underwent mediastinoscopy and biopsy of the mediastinal tumor.
 
Light Microscopy
 
February 1998 Case-of-the-Month

 

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