case_images: PMC5461669_01
case_images: Contrast-enhanced CT-scan with detection of multiple hypodense pancreatic lesions
case_images: 13569_2017_78_Fig1_HTML.jpg
case_images: PMC5461669_01_13569_2017_78_Fig1_HTML.jpg
case_images: Fig1
case_images: She was then submitted to a total-body contrast-enhanced TC-scan with detection of multiple hypodense pancreatic lesions (Fig. 1), bilateral hypodense renal lesions (Fig. 2) and bilateral lung lesions (Fig. 3).
case_images: Bilateral lung metastases at CT-scan
case_images: 13569_2017_78_Fig3_HTML.jpg
case_images: PMC5461669_01_13569_2017_78_Fig3_HTML.jpg
case_images: Fig3
case_images: She was then submitted to a total-body contrast-enhanced TC-scan with detection of multiple hypodense pancreatic lesions (Fig. 1), bilateral hypodense renal lesions (Fig. 2) and bilateral lung lesions (Fig. 3).
case_images: Histologic features of the core-needle biopsy. The lesion was constituted of malignant smooth muscle fascicles, as demonstrated by the immunohistochemistry for smooth muscle actin (SMA) and pool cytokeratin (CK, which is shown to have a positive control on the normal lung parenchyma left)
case_images: 13569_2017_78_Fig4_HTML.jpg
case_images: PMC5461669_01_13569_2017_78_Fig4_HTML.jpg
case_images: Fig4
case_images: The biopsy (Fig. 4) was constituted of lung parenchyma invaded by a population of fusiform elements with marked nuclear pleomorphism, hyperchromasia and high mitotic activity growing in a fascicular pattern.