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Previous Cases of the Month

  • Heart

    A 23-year-old woman presents with a one-year history of fatigue. Imaging studies reveal a large right atrial mass, which is resected. On gross examination, the resected mass measures 8.5 x 8.0 x 6.5 cm.

  • Colon

    A 37-year-old woman presents to medical attention reporting increasing vague abdominal pain, irregular bowel movements (constipation alternating with diarrhea), and menorrhagia, over the past year.

  • Uterus

    A 19-year-old woman presents with vaginal bleeding during the 14th week of pregnancy. She reports intractable nausea. Serum beta-human chorionic gonadotropin (beta HCG) levels are markedly elevated at 1,780,000 mIU/ml.

  • Kidney

    Upon imaging, a 53-year-old woman is found to have a large cystic mass in her left kidney. Following nephrectomy, gross examination shows a well-circumscribed multiloculated cystic mass measuring 12.0 cm in greatest dimension.

  • Uterus

    A 24-year-old woman (G6P5, status post 5 Cesarean sections) arrives in the emergency room complaining of profuse but painless bright red vaginal bleeding of one hour duration. She is 18 weeks pregnant with her sixth child.

  • Stomach

    A 56-year-old man presents with an incidental 5.2 cm gastric tumor (identified on imaging after a motor vehicle accident). Esophagoduodenoscopy shows a submucosal mass lesion in the gastric antrum (mucosal biopsies are normal).

  • Spleen

    A 67-year-old woman presents to the emergency room with intense abdominal pain, nausea, and vomiting. Physical examination identifies splenomegaly, with the organ located 6.0 cm below the left costal margin.

  • Penis

    A 44-year-old man presents with a two-year history of a fungating penile mass, as well as a 15.0-pound weight loss over the past few months.

  • Thigh mass

    A 47-year-old woman presents with a thigh mass. Upon computed tomography scan, a 5.2 cm non-homogenously enhancing mass is identified in the deep soft tissue.

  • Mediastinal mass

    A 41-year-old Asian man complains of shortness of breath of three months’ duration. Imaging studies reveal a mediastinal mass involving the anterior mediastinum.

  • Liver

    A 4-year-old boy is brought by his parents to his pediatrician when they notice his abdomen is distended. Two years ago, he underwent a partial hepatic resection for malignancy.

  • Ovary

    A 70-year-old woman presents with a pelvic mass and undergoes a total hysterectomy, bilateral salpingo-oophorectomy, and appendectomy. Both ovaries are grossly enlarged.

  • Kidney

    A 67-year-old man presents with hematuria and flank pain. Computed tomography scan reveals a 13.8 cm mid left kidney mass.

  • Left Arm

    A 72-year-old woman presents with a 7.0 x 3.5 x 3.0 cm mass in the deep soft tissues of the upper extremity. She has a prior history of malignancy but cannot recall the type

  • Kidney

    A 37-year-old woman presents with recent onset of flank pain and a 2-day history of gross hematuria. Urinalysis shows 4+ red cells and red cell casts but no epithelial cells.

  • Testis

    A 35-year-old Caucasian man presents to his physician complaining of a painless right testicular mass that has been growing over the last 3 months.

  • Stomach

    A 92-year-old woman presents with abdominal fullness and epigastric pain. She reports a 40-pound weight loss over the past year.

  • Transient Abnormal Myelopoiesis

    A 38-week-gestation boy was born to a 38-year-old mother. Pertinent physical exam findings included up-slanting eyes, webbed toes, and a murmur consistent with a ventricular septal defect. 

  • Third Trimester Placenta

    A 22-year-old G2P1 woman in labor is admitted to a local hospital. She informs the admitting physician that based on prior ultrasound evaluations her fetus exhibits findings consistent with intrauterine growth restriction.

  • Skin and soft tissue of right forearm

    A 45-year-old construction worker sustains a superficial laceration to his arm at his worksite and does not receive immediate medical attention. Several weeks later he develops generalized erythema and discoloration of the upper extremity skin.

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