case_images: PMC6512030_01
case_images: PA chest radiograph showing a large left-sided pleural effusion (arrow).
case_images: CRIONM2019-8013913.001.jpg
case_images: PMC6512030_01_CRIONM2019-8013913.001.jpg
case_images: fig1
case_images: Chest radiography showed a large left-sided and small right-sided pleural effusions (Figure 1).
case_images: Computed tomography with angiography showing a right medial breast mass (closed white arrow) with mediastinal (open white arrow) and axillary lymphadenopathy. Large effusions greater on the left (P).
case_images: CRIONM2019-8013913.002.jpg
case_images: PMC6512030_01_CRIONM2019-8013913.002.jpg
case_images: fig2
case_images: Computed tomography (CT) with angiography revealed a right medial breast mass, mediastinal and axillary lymphadenopathy, and bilateral effusions, greater on the left (Figure 2).
case_images: Hematoxylin and eosin stain showing invasive carcinoma consisting of pleomorphic tumor cells with vacuolated and eosinophilic cytoplasm and prominent nucleoli.
case_images: CRIONM2019-8013913.003.jpg
case_images: PMC6512030_01_CRIONM2019-8013913.003.jpg
case_images: fig3
case_images: Pathology from both breast tissue samples revealed Mullerian epithelial primary, consistent with metastatic clear-cell carcinoma of the ovary (Figures 3 and 4).
case_images: (a) PAX-8: strong, diffuse nuclear staining within tumor cells is consistent with a Mullerian primary and militates against lung primary. (b) Napsin-A: focal granular cytoplasmic staining, consistent with either lung or clear-cell Mullerian-type adenocarcinoma.
case_images: CRIONM2019-8013913.004.jpg
case_images: PMC6512030_01_CRIONM2019-8013913.004.jpg
case_images: fig4
case_images: Pathology from both breast tissue samples revealed Mullerian epithelial primary, consistent with metastatic clear-cell carcinoma of the ovary (Figures 3 and 4).