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In pursuit of the primary

Jane Mendonca, Vishak Acharya, Sanyo D'souza, Kausalya Kumari Sahu, Sindhu Kamath, Jyoti R. Kini
Breathe 2021 17: 210142; DOI: 10.1183/20734735.0142-2021
Jane Mendonca
1Dept of Respiratory Medicine, Kasturba Medical College Mangalore, Mangalore, Karnataka, India
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  • For correspondence: enajmend516@gmail.com
Vishak Acharya
1Dept of Respiratory Medicine, Kasturba Medical College Mangalore, Mangalore, Karnataka, India
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Sanyo D'souza
2Dept of Oncology, Kasturba Medical College Mangalore, Mangalore, Karnataka, India
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Kausalya Kumari Sahu
3Dept of Pathology, Kasturba Medical College Mangalore, Mangalore, Karnataka, India
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Sindhu Kamath
1Dept of Respiratory Medicine, Kasturba Medical College Mangalore, Mangalore, Karnataka, India
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Jyoti R. Kini
3Dept of Pathology, Kasturba Medical College Mangalore, Mangalore, Karnataka, India
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    Figure 1

    Portable chest radiograph showing a large, right-sided pleural effusion causing a shift of the mediastinum to the left side.

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    Figure 2

    a) Cellular smear made up of three-dimensional clusters of atypical hyperchromatic cells (Papanicolaou stain, 4× magnification). b) Higher magnification revealed a papillaroid cell cluster with pleomorphic darkly stained nuclei (Papanicolaou stain, 20× magnification). c) Smear showing papillaroid clusters of neoplastic cells (May Grunwald-Giemsa stain, 10× magnification). d) Higher magnification revealed neoplastic cells with high nuclear/cytoplasmic ratio, irregular nuclear membrane and some of the nuclei with prominent nucleoli (May Grunwald-Giemsa stain, 40× magnification).

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    Figure 3

    FDG PET-CT image showing increased uptake in the pelvic peritoneum and omentum.

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    Figure 4

    a) Section from small bowel mesentery showing tumour cells in an acinar pattern (May Grunwald-Giemsa stain, 40× magnification). b) Section from left paracolic gutter peritoneum showing tumour nodules in nests (May Grunwald-Giemsa stain, 40× magnification). c) Section from the left ovary showing normal ovarian stroma (May Grunwald-Giemsa stain, 10× magnification).

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Vol 17 Issue 4 Table of Contents
Breathe: 17 (4)
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In pursuit of the primary
Jane Mendonca, Vishak Acharya, Sanyo D'souza, Kausalya Kumari Sahu, Sindhu Kamath, Jyoti R. Kini
Breathe Dec 2021, 17 (4) 210142; DOI: 10.1183/20734735.0142-2021

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In pursuit of the primary
Jane Mendonca, Vishak Acharya, Sanyo D'souza, Kausalya Kumari Sahu, Sindhu Kamath, Jyoti R. Kini
Breathe Dec 2021, 17 (4) 210142; DOI: 10.1183/20734735.0142-2021
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