Cardiac pathology: Aortic valve: Non bacterial thrombotic endocarditis
A 1964 autopsy specimen from a 38 year old woman, who first noticed a lump in her neck a year before her death. Excision biopsy revealed a squamous carcinoma. Despite chest X-ray, oesophagoscopy, bronchoscopy, barium meal and examination of the upper respiratory tract, the primary was never found. Six months later the tumour recurred. Despite DXT and chemotherapy she died.