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small cell carcinoma
small cell carcinoma
small cell carcinoma
small cell carcinoma
small cell carcinoma
small cell carcinoma
small cell carcinoma
small cell carcinoma
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small cell carcinoma

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  • 1. A 72-year-old man with hoarseness and lung nodules <ul><li>CC: hoarseness onset : 10 years ago </li></ul><ul><li>PI: 10 년전부터 hoarsness 간간히 있었으나 특별한 치료 없이 지내옴 . 1 년 전 겨울 voice change 심해져서 local ENT 방문후 , 큰병원 권유받아 지역대학병원 방문 w/u 상 r/o glottic ca c lung meta 로 SMC ENT 에서 LMS 시행함 . 이후 lung lesion 에 대해 tissue confirm( 수술 ) 위해 입원함 . PS; 1 tracheostomy state </li></ul><ul><li>개인력 및 사회력 흡연력 : Current smoker 하루 (1) 갑 기간 (50) 년 </li></ul>
  • 2. Chest PA Prominent right hilum and a small nodule in right upper lobe
  • 3. Chest CT and PET CT and PET: a small nodule in right upper lobe and large hilar lymph node
  • 4. Close view Blue tumor with extensive necrosis Small cell carcinoma
  • 5. Microscopic view I Blue tumor with extensive necrosis Small cell carcinoma
  • 6. Microscopic view II Blue tumor with extensive necrosis and lymphatic tumor emboli (arrow) Small cell carcinoma
  • 7. Microscopic view III Lymphatic tumor emboli (arrows)
  • 8. Microscopic view IV Small cell carcinoma is composed of small tumor cells with a round to fusiform shape, scanty cytoplasm, and absent or inconspicuous nucleoli Small cell carcinoma

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