Bilateral Vocal Cord Paralysis and Cervicolumbar Radiculopathy as the Presenting Paraneoplastic Manifestations of Small Cell Lung Cancer: A Case Report and Literature Review

Figure 2

Representative cytology slides of paratracheal lymph node. Cytology of endobronchial ultrasound guided fine needle biopsy from the necrotic mediastinal lymph node in Figure 1. Hematoxylin and eosin stain of cell block section (a) demonstrated crowded, overlapping groups of malignant cells in a background of necrosis. Immunohistochemistry was positive for TTF-1 (b), AE-1/AE-3, perinuclear dot-like positivity (c), synaptophysin (d), chromogranin (e), and CD56 (f), confirming the diagnosis of small cell lung carcinoma.

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