Correct!
3. Review the existing biopsy
The patient was anxious to make a diagnosis and unwilling to wait 3 months for repeat studies. The best course seemed to be to obtain outside lung biopsy specimen for review. Repeat open lung biopsy, VATS, and transbronchial biopsy seem unlikely to establish a diagnosis if a previous open lung biopsy with good specimens did not.
New findings noted on pathology review done at our institution indicating lung cysts with walls containing spindle-like malignant cells with evidence of hypervascularity (Figure 6).
Figure 6. Histopathology with hematoxylin and eosin (H & E) staining. Low power view (A); intermediate power view (B,C); and high power view (D-F).
Which of the following malignancies has been associated with lung cysts? (Click on the correct answer to proceed to the fifth and final page)