Open AccessA rare mediastinal tumour in a young male mimicking massive pleural effusion
Author(s) -
Sudipta Pandit,
Subhasis Mukherjee,
Soumya Bhattacharya,
Arunabha Dattachaudhuri,
Sourin Bhuniya,
Jaydip Deb,
Pulakesh Bhanja
Publication year - 2012
Publication title -
lung india
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 25
eISSN - 0974-598X
pISSN - 0970-2113
DOI - 10.4103/0970-2113.92368
Subject(s) - medicine , pleural effusion , radiology , thorax (insect anatomy) , biopsy , lung , mediastinal mass , fine needle aspiration , anatomy
A 30-year-old male, carpenter by profession, presented with a history of dry cough and progressive shortness of breath for two months along with right-sided chest pain for one and a half months. The clinico-radiological picture was suggestive of right-sided massive pleural effusion. Computed tomography (CT) scan of the thorax showed a huge mediastinal mass occupying the entire right hemithorax with very small amount of pleural effusion. CT-guided fine needle aspiration cytology and tru-cut biopsy from the mass both revealed small round-cell tumour, possibly small cell carcinoma of the lung. However, on immunohistochemistry tumour cells expressed Mic-2 and it was consistent with a diagnosis of primitive neuroectodermal tumour.