Malignant Triton Tumor of the Brachial Plexus Invading the Left Thoracic Inlet: A Rare Differential Diagnosis of Pancoast Tumor Jo Dartnell, BSc, MRCS,

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Presentation transcript:

Malignant Triton Tumor of the Brachial Plexus Invading the Left Thoracic Inlet: A Rare Differential Diagnosis of Pancoast Tumor Jo Dartnell, BSc, MRCS, John Pilling, FRCS (CTh), Rosalie Ferner, MD, FRCP, Paul Cane, BMedSci, FRCP(Path), Loïc Lang- Lazdunski, MD, PhD, FRCS Journal of Thoracic Oncology Volume 4, Issue 1, Pages 135-137 (January 2009) DOI: 10.1097/JTO.0b013e31819151ab Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 1 Magnetic resonance imaging (MRI) and computed tomography (CT) showing the large neurogenic tumor arising from the thoracic inlet in close contact with the subclavian vessels and aortic arch but not invading the left upper lobe. Journal of Thoracic Oncology 2009 4, 135-137DOI: (10.1097/JTO.0b013e31819151ab) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 2 Positron emission tomography-computed tomography (PET-CT) showing a large 9 × 7.3 cm Fluorodeoxyglucose (FDG) avid tumor in the left upper thoracic cavity. Journal of Thoracic Oncology 2009 4, 135-137DOI: (10.1097/JTO.0b013e31819151ab) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 3 The surgically resected specimen (371 g; 135 × 90 × 60 mm) completely resected en bloc with mediastinal tissue, scalene muscles and the lower cord of the brachial plexus. Journal of Thoracic Oncology 2009 4, 135-137DOI: (10.1097/JTO.0b013e31819151ab) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions

FIGURE 4 Histopathology (hematoxylin and eosin × 100). Arrows pointing to the scattered large round cells with eosinophilic cytoplasm representing rhabdomyoblasts among the spindle cells. Journal of Thoracic Oncology 2009 4, 135-137DOI: (10.1097/JTO.0b013e31819151ab) Copyright © 2009 International Association for the Study of Lung Cancer Terms and Conditions