Q:

For each of the tumours listed on the left select the most appropriate association from the list on the right

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For each of the tumours listed on the left select the most appropriate association from the list on the right.

a. Bronchial adenoma.

b. Oat cell carcinoma.

c. Pleural mesothelioma.


  1. Chance finding on chest X-ray.
  2. Commonest at periphery of lung.
  3. Mixed histological patterns.
  4. Resemble carcinoid tumours of alimentary tract.
  5. Tumour usually arises from main bronchus at hilum.

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The answer is D, E, C. The bronchial adenoma is a slow growing malignant tumour which protrudes into the bronchial lumen and invades lung locally. Many contain neurosecretory granules.

This type of tumour may be associated with endocrine symptoms; it usually occurs at the hilum, and is thought to be derived from Feyrter cells.

Mesotheliomas often show a mixed pattern of papillary adenocarcinoma and spindle cell tumour; it is associated with previous exposure to asbestos, particularly crocidolite.

The benign adenochondroma is often a chance finding on X-ray (A): it is a hamartomatous lesion consisting of cartilage and lung tissue. Adenocarcinoma of the lung usually arise at the periphery (B) and are often associated with scar tissue.

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