Ikuo Sekine, M. D. , Yasutsuna Sasaki, M. D. , Masayuki Noguchi, M. D

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Roentgenographically Occult Small-Cell Lung Cancer: Case Report and Review of the Literature  Ikuo Sekine, M.D., Yasutsuna Sasaki, M.D., Masayuki Noguchi, M.D., Ryosuke Ono, M.D., Nagahiro Saijo, M.D.  Mayo Clinic Proceedings  Volume 71, Issue 5, Pages 481-484 (May 1996) DOI: 10.4065/71.5.481 Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Chest roentgenogram obtained on admission, showing unremarkable findings except for hyperinflation of both lungs. Mayo Clinic Proceedings 1996 71, 481-484DOI: (10.4065/71.5.481) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Bronchoscopic appearance of bronchial bifurcation of left upper lobe of lung before treatment, showing small dome-shaped lesion on ridge. Mucosa around tumor was somewhat swollen with engorged capillaries. Mayo Clinic Proceedings 1996 71, 481-484DOI: (10.4065/71.5.481) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Endobronchial biopsy specimen, showing infiltration of small-cell lung cancer. (Hematoxylin-eosin; original magnification, x400.) Mayo Clinic Proceedings 1996 71, 481-484DOI: (10.4065/71.5.481) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Bronchoscopy 9 years after treatment, showing complete disappearance of tumor. Mayo Clinic Proceedings 1996 71, 481-484DOI: (10.4065/71.5.481) Copyright © 1996 Mayo Foundation for Medical Education and Research Terms and Conditions