Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
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Year : 2009  |  Volume : 4  |  Issue : 2  |  Page : 88-90
A 70 year old male with difficulty in breathing

1 Department of Pathology, Pt. BD Sharma, Post Graduate Institute of Medical Sciences, Rohtak (Haryana), India
2 Department of Padiology, Post Graduate Institute of Medical Sciences, Rohtak (Haryana), India

Date of Submission09-Oct-2008
Date of Acceptance13-Dec-2008

Correspondence Address:
Sarita Magu
22/8 FM, Medical Campus, Pt. BD Sharma, Post Graduate Institute of Medical Sciences, Rohtak (Haryana)
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1817-1737.49417

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How to cite this article:
Kumar S, Magu S, Agarwal S. A 70 year old male with difficulty in breathing. Ann Thorac Med 2009;4:88-90

How to cite this URL:
Kumar S, Magu S, Agarwal S. A 70 year old male with difficulty in breathing. Ann Thorac Med [serial online] 2009 [cited 2023 Apr 1];4:88-90. Available from:

A 70 year old man presented with complaints of moderate pain chest which was generalized in nature & difficulty in breathing for the past 6-7 month. He also had cough off and on. Clinical and routine hematological examination was unremarkable except for reduced breath sounds in left lower lobe. Imaging studies were advised. [Figure 1],[Figure 2],[Figure 3] Fine needle aspiration cytology was performed thereafter. [Figure 4] It revealed spindle shaped cells with pleomorphic nucleus and vaiable cytoplasm. (MGG stain, 100)

   Clinical Questions Top

  1. What are the findings on chest radiographs [Figure 1]?
  2. What are the findings on computed tomogram (CT) [Figure 2] and magnetic resonance imaging (MRI) [Figure 3] of the chest? How is MRI useful?
  3. What is the differential diagnosis?

Click here to view answer. View Answer

   References Top

1.Wiener MF, Chou WH. Primary tumors of the diaphragm. Arch Surg . 1965;90:143-52.  Back to cited text no. 1    
2.McHenry CR, Pickleman J, Winters G, Flisak ME. Diaphragmatic neurilemmoma. J Surg Oncol .1988;37:198-200.  Back to cited text no. 2    
3.Grancher M. Extraits des proces-verbaux, 8. Tumeur du diaphragme. Bull Soc Anat Paris .1868;43:385.  Back to cited text no. 3    
4.Olafsson G, Pausing A, Holen. Primary tumors of the diaphragm. Chest . 1971;59:568-70.  Back to cited text no. 4    
5.Midorikawa Y, Kubota K, Mori M, Koyama H, Aihara N, Makuuchi M, Kajiura N. Rhabdomyosarcoma of the diaphragm: Report of an adult case. Japn J Clin Oncol.1998;28:222-6.  Back to cited text no. 5    
6.Cada M, Gerstle JT, Trubici J, Ngan BY, Capra ML. Approach to diagnosis and treatment of pediatric primary tumors of the diaphragm. J Pediatr Surg 2006;41:1722-6.  Back to cited text no. 6    
7.Anderson LS, Forrest JV: Tumors of the diaphragm. Am J Roentgenol.1973;119: 259-65.  Back to cited text no. 7    
8.Cho Y, Hishiyama H, Nakamura Y, Katoh H. A case of leiomyosarcoma of the diaphragm. Ann Thorac Cardiovasc Surg 2001;7:297-300.  Back to cited text no. 8  [PUBMED]  [FULLTEXT]
9.Belaabidia B, Sellami S, Benelkhayat R, Elattar H, Elidrissi Dafali A. Leiomyosarcoma of the diaphragm: A case report and review of literature. Cancer Radiother. 2006;10:137-41.  Back to cited text no. 9    


  [Figure 1], [Figure 2], [Figure 3], [Figure 4]


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