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62377 Pathology

A 64-year-old man who has worked in a manufacturing plant all his life complains of an 8-month history of chest discomfort, malaise, fever, night sweats, and weight loss. A chest X-ray reveals a pleural effusion and pleural mass encasing the lung. The patient subsequently dies of cardiorespiratory failure. Histologic examination of the pleural mass at autopsy shows a biphasic pattern of epithelial and sarcomatous elements. What is the most likely diagnosis?

ACarcinoid tumor
BLarge cell carcinoma
CMalignant melanoma
DMalignant mesothelioma
Pathology
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