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Squamous Cell Carcinoma Coexisting in Rounded Atelectasis: Diagnostic Pitfalls

T. Nakazono1, Y. Nakamura1, T. Satoh2, T. Sakuragi3, Y. Sakao3 and S. Kudo1

1 Department of Radiology, Saga Medical School, 5-1-1 Nabeshima, Saga City, Saga 849-8501, Japan.
2 Department of Pathology, Saga Medical School, Saga 849-8501, Japan.
3 Department of Cardiovascular and Thoracic Surgery, Saga Medical School, Saga 849-8501, Japan.



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Fig. 1A. 70-year-old man with squamous cell carcinoma coexisting in rounded atelectasis. Contrast-enhanced CT scan (mediastinal window setting) shows subpleural mass (arrows) in right lower lobe. Mass has distinct margin and shows inhomogeneous enhancement. Focal pleural thickening (arrowheads) is seen adjacent to mass.

 


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Fig. 1B. 70-year-old man with squamous cell carcinoma coexisting in rounded atelectasis. CT scan (lung window setting) shows that bronchus and pulmonary vessels (arrows) of right lower lobe are curved and continue to mass, presenting comet-tail sign.

 


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Fig. 1C. 70-year-old man with squamous cell carcinoma coexisting in rounded atelectasis. Photograph of macroscopic specimen shows thickening of visceral pleura (large arrows) and whirllike collapsed lung parenchyma (small arrows) compatible with rounded atelectasis. Whitish tumor (arrowheads) is located in rounded atelectasis.

 


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Fig. 1D. 70-year-old man with squamous cell carcinoma coexisting in rounded atelectasis. Photomicrograph of histopathologic specimen shows marked fibrosis of visceral pleura and lung parenchyma (arrows) near tumor nests (arrowheads). (H and E, x4)

 

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