Originally Posted By: eyeFISH
Pretty aggressive tumor seeing as how it displaced the adjacent ribs and basically ate thru the others.

Never did followup with the final pathologic results from permanent section, but better late than never. Hope no one sues me for a delay in diagnosis.

FINAL DIAGNOSIS:
I am attaching histology from permanent sections. What really threw me is the fish erythrocytes, which (apparently) are nucleated. What is shown, then, is a spindle cell malignant tumor with vascular spaces containing many red cells—a high grade angiosarcoma.


Unfortunately, the patient did NOT survive the operation. wink
_________________________
"Let every angler who loves to fish think what it would mean to him to find the fish were gone." (Zane Grey)

"If you don't kill them, they will spawn." (Carcassman)


The Keen Eye MD
Long Live the Kings!