This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Surgery, Other  • Alert me on articles by topic

Christopher R. Newton, MD; Gregory P. Victorino, MD
From the Department of Surgery, University of California–San Francisco, East Bay, Oakland.

Arch Surg. 2003;138:341.

	Since this article does not have an abstract, we have provided the first 140 words of the full text and any section headings.

INTRODUCTION

A 59-YEAR-OLD woman was referred to the surgical service for evaluation of a thoracic mass. She complained of difficulty breathing and a progressive, nonproductive cough. A chest radiograph and computed tomographic scan showed a large right-sided chest mass compressing the right upper lobe of the lung (Figure 1), with tracheal and aortic arch deviation (Figure 2). Magnetic resonance imaging showed the mass to be homogeneous.

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

After a biopsy of the mass guided by means of computed tomography, she underwent an elective thoracotomy. The mass was confined to the right side of the upper chest cavity, with significant compression of the right lung. It measured 12 x 16 cm and weighed 920 g.

What Is the Diagnosis?

A. Lymphoma

B. Malignant schwannoma

C. Benign neurilemoma

D. Pulmonary sequestration

Answer

Corresponding author: Gregory P. Victorino, MD, Department of Surgery, University of California–San Francisco, East Bay, 1411 E 31st St, Oakland, CA 94602.

SECTION EDITOR: GRACE S. ROZYCKI, MD

RELATED ARTICLE

Image of the Month—Diagnosis
Arch Surg. 2003;138(3):342.
EXTRACT | FULL TEXT