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July 4, 1977

Neurogenic Tumors of the Chest

Author Affiliations

From the Department of Medicine, Division of Respiratory Physiology and Medicine, Harbor General Hospital, University of California at Los Angeles School of Medicine, Torrance.

JAMA. 1977;238(1):57-58. doi:10.1001/jama.1977.03280010057025

NEUROGENIC tumors are rarely seen in the chest. We report three cases that illustrate the several ways these tumors can present in the chest. The first case demonstrates a benign tumor presenting as an extrapleural mass, a location unusual even for this unusual tumor. The second case demonstrates a primary malignant tumor of the lung, and the third a malignant tumor that metastasized to the lung.

Report of Cases 

Case 1.—  A 31-year-old man was referred for the evaluation of an abnormal chest roentgenogram obtained two years ago for immigration purposes. The extrapleural lesion was roentgenographically unchanged at the time of referral. The patient was asymptomatic and denied chest pain, dyspnea, cough, or weight loss. He had a history of extensive travel, including Asia and Latin America.Physical examination results were normal. Skin tests were mumps, positive; purified protein derivative (PPD), 5 TU, doubtful; coccidioidin, negative; histoplasmin, negative. Chest roentgenograms