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Lung India Official publication of Indian Chest Society  
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Year : 2012  |  Volume : 29  |  Issue : 1  |  Page : 66-69

A rare mediastinal tumour in a young male mimicking massive pleural effusion

1 Department of Pulmonary Medicine, Calcutta Medical College and Hospital, Kolkata, India
2 Department of Pulmonary Medicine, College of Medicine and Sagar Dutta Hospital, Kamarhati, Kolkata, India
3 Department of Pulmonary Medicine, R. G. Kar Medical College and Hospital, Kolkata, India
4 Department of Pulmonary Medicine, Midnapore Medical College and Hospital, West Midnapore, West Bengal, India

Correspondence Address:
Subhasis Mukherjee
181/2B, Roypur Road, Kolkata-700047, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0970-2113.92368

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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.

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