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A male in his early 20s presented with fever, haemoptysis and bleeding gum for 4 days. A physical examination revealed subconjunctival haemorrhage of the left eye, generalised lymphadenopathy, hepatosplenomegaly and petechiae on both legs.
Chest X-ray and CT scan showed large mild heterogeneously enhancing anterior mediastinal mass (figure 1). Peripheral blood smear and bone marrow (BM) aspiration examination showed numerous immature mononuclear cells compatible with lymphoblasts. Finally, the tissue pathology of mediastinal mass by transthoracic core needle biopsy …
Contributors PT and PK were in charge of the patient and wrote the first draft of the manuscript. SS prepared the pathological image and report. TM prepared the CT image and submitted the manuscript. All authors approved the final version.
Funding This work was funded by Medical Education Centre of Suratthani Hospital, Thailand.
Competing interests None declared.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; externally peer-reviewed.