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Home > Resident Case Studies > Week 2 Case 4 Questions

RESIDENT CASE STUDIES

Week 2 April 28 - May 2, 2003: Case 4 

Table of Contents | List of DiagnosesCase 1 | Case 2 | Case 3 | Case 4

A 87 year old female with an anterior mediastinal mass (substernal)

Image 1 Week 2 Case 4 Image 1
   
Image 2 Week 2 Case 4 Image 2
   
Image 3 Week 2 Case 4 Image 3

Questions:

Questions:

  1. The histological findings are consistent with which one of the following?
  1. Teratoma
  2. Thymic carcinoma
  3. Thymoma, invasive
  4. Substernal thyroid
  5. Malignant lymphoma

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  1. Which one of the following is false for the above lesion? 
  1. Associated with myasthenia gravis in 50% of cases
  2. Associated with hypogammaglobulinemia
  3. Considered as a benign lesion
  4. Commonly seen in older females
  5. None of the above

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  1. What are the two characteristic features that are suggestive of carcinoma?
  1. Cytologic atypia
  2. Local recurrence
  3. Capsular invasion
  4. Size of the tumor
  5. All of the above

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Week 2 Case 4 Discussion