Case 17-1987

Abstract

Presentation of Case First admission. A 38-year-old woman was admitted to the hospital because of a right pleural effusion.She was well until 17 years earlier, when right cervical and axillary lymphadenopathy was found. Microscopical examination of a biopsy specimen of a lymph node, obtained elsewhere, was reported to show undifferentiated carcinoma; the appearance of the cells was believed consistent with melanoma, undifferentiated bronchial carcinoma, or embryonal carcinoma. An x-ray film of the chest was reported to show a mass in the right hemithorax. Radiation treatment was administered in a total tumor dose of 4000 rad through a single . . .