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General Medicine General 46098bb6

A 64-year-old man who has worked in a manufacturing plant all his life complains of an 8-month history of chest discomfort, malaise, fever, night sweats, and weight loss. A chest X-ray reveals a pleural effusion and pleural mass encasing the lung. The patient subsequently dies of cardiorespiratory failure. Histologic examination of the pleural mass at autopsy shows a biphasic pattern of epithelial and sarcomatous elements. What is the most likely diagnosis?

A
Carcinoid tumor
B
Large cell carcinoma
C
Malignant melanoma
D
Malignant mesothelioma

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