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A curious case of classic biphasic pulmonary blastoma
V Vinay1, Jitendra Kumar Saini1, MN Dinesh Kanna1, Alpana Srivastava2
1 Department of TB and Respiratory Diseases, National Institute of Tuberculosis and Respiratory Diseases, New Delhi, India
2 Department of Pathology, GSVM Medical College, Kanpur, Uttar Pradesh, India
Correspondence Address:
Jitendra Kumar Saini,
Head, Department of Thoracic Oncology, National Institute of Tuberculosis and Respiratory Diseases (NITRD), Sri Aurobindo Marg (Near Qutub Minar), New Delhi - 110 030
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/jascp.jascp_26_22
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Classic biphasic pulmonary blastoma is an uncommon and highly aggressive primary pulmonary malignancy characteristically arising from fetal lung tissues comprising biphasic histology that is made up of both epithelial and mesenchymal components. We present this rare case in which a young adult presented with chest pain for 3 months and dyspnea for 1 month. Contrast-enhanced computed tomography of the thorax revealed a right-sided homogeneous mass. The diagnosis was confirmed by transthoracic biopsy and histopathological examination. Surgical excision remains the treatment of choice. Recurrence usually occurs within 12 months of surgery, with 5-year survival rates <20%. We report this rare malignancy with a special focus on improving the management of this malignancy.
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