M131: Left lung with intrapleural tumour (neurilemmoma)

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Clinical history : A male child 3 years old with diagnosis of dextrocardia.
After admission in the hospital a large left-sided pleural effusion was found with displacement of the heart to the right; 50 ml blood stained fluid was removed and the patient responded favourably but twelve hours after admission his condition deteriorated and he died soon afterwards.
Autopsy findings : 1. A large left-sided pleural tumour with central haemorrhage; histological examination showed a neurilemmoma.
2. Displacement of the heart to the right.
3. General systemic congestion but no signs of any tumour metastases.
Diagnosis: Neurilemmoma.

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