PAMJ Clinical Images Quiz

PAMJ - CLINICAL IMAGES QUIZ

Images in Clinical Medicine Quiz allows clinicians, interns, medical students alike to test their clinical knowledge using articles published in the PAMJ. The PAMJ Image Quiz is distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

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A 39 year-old patient presented to the emergency department with left-sided chest pain for four months and 4kg weight loss through the same period. Physical examination showed bulging of the left scapula which is tender to touch and decreased breath sounds on the left side. A PET-CT scan showed hypermetabolic complex mass occupying most of the left hemithorax infiltrating the back muscles bulging to the subcutaneous fat with irregular thick active gastric mucosa as well and intense large colon activity. A biopsy of the lesion and immunohistochemical studies were done and showed malignant diffuse spindle cell neoplasm positive for CD56, CD99, Bcl2 CKAE1/AE3, H. Caldesmon and EMA. What is your diagnosis?

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The PAMJ Clinical Quiz comes from manuscripts submitted in PAMJ journals mostly in the category Images in Clinical Medicine, or Case Reports. Quiz questions are developed by PAMJ Clinical Editors and provide an opportunity to health professionals, clinicians, and medical students to test their clinical skills. Distributed under the terms of CC BY 4.0. Feedback: editor@panafrican-med-journal.com.

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Articles published in Pan African Medical Journal are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

The Pan African Medical Journal (ISSN: 1937-8688) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

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