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(A–C) Electron microscopic images obtained from two different cases, (A) a cluster of large malignant cells with cytoplasmic mucin vacuoles consistent with metastatic adenocarcinoma (Pap stain, ×40 magnifications). (A–C) Electron microscopic images obtained from two different cases, (A) a cluster of large malignant cells with cytoplasmic mucin vacuoles consistent with metastatic adenocarcinoma (Pap stain, ×40 magnifications). (B) Large malignant cells with vesicular nuclei and prominent nucleoli consistent with metastatic non-small cell carcinoma (Pap stain, ×40 magnifications). (C) Thyroid transcription factor 1 (TTF1, ×20 magnification) immunostaining slide showing nuclear positivity confirming metastatic adenocarcinoma. Amir Awwad et al. BMJ Open Resp Res 2015;2:e000075 ©2015 by British Thoracic Society
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