Fig. 4.
Macroscopically, the tumor was circumscribed and solid. Partial infiltration toward the right upper lobe was observed (a,b). Microscopically, polygonal, spindle, or epithelioid-shaped cells with bizarre nuclei proliferated in a sheet, storiform, or fascicular pattern. Fibrous, hyalinized and myxomatous stroma was also seen. Both epithelioid (c) and sarcomatous (d) components were observed. These findings indicated a malignant mesothelioma with a biphasic pattern.