case_images: PMC5618741_01
case_images: Anterior central chest wall mass.
case_images: CRIONM2017-5264564.001.jpg
case_images: PMC5618741_01_CRIONM2017-5264564.001.jpg
case_images: fig1
case_images: A 43-year-old G6P6 Hispanic female presented with a two-month history of a central chest wall mass (Figure 1). She again sought medical attention only when she experienced intolerable pain and difficulty in swallowing associated with enlargement of a new mass on her chest (Figure 1).
case_images: 2.1 x 1.5 cm soft tissue infiltrating along the manubrium with underlying destruction of the bone.
case_images: CRIONM2017-5264564.002.jpg
case_images: PMC5618741_01_CRIONM2017-5264564.002.jpg
case_images: fig2
case_images: CT chest/abdomen/pelvis and MRI brain/cervical spine showed extensive infiltration by a soft tissue mass, associated bony destruction, and pulmonary nodules (Figure 2).
case_images: HE staining of tumor showing highly cellular epithelial cells with fascicles of short spindle cells.
case_images: CRIONM2017-5264564.003.jpg
case_images: PMC5618741_01_CRIONM2017-5264564.003.jpg
case_images: fig3
case_images: CT-guided core biopsy revealed tumor predominantly composed of spindle cells (Figure 3) with features of SSCC, immunoreactivity for cytokeratin (AE1/AE3), CAM5.2, and vimentin, and weakly positive for muscle actin, S100, and p63.