Pulmonary Lymphoma of Large B-cell Type Mimicking Wegener's Granulomatosis
| Autor: | Hiroyasu Takeyama, Mine Harada, Ryosuke Eda, Yoshiki Umemori, Kiyoshi Makihata, Tomoyuki Murakami, Keisuke Aoe, Naomi Kunichika, Nobuaki Miyahara, Kazuo Murakami |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty Lung Neoplasms Lymphoma B-Cell Open biopsy Biopsy Primary pulmonary lymphoma Diagnosis Differential Internal Medicine medicine Humans Lung medicine.diagnostic_test business.industry Respiratory disease Granulomatosis with Polyangiitis General Medicine medicine.disease Non-Hodgkin's lymphoma medicine.anatomical_structure Lymphoma Large B-Cell Diffuse Tomography X-Ray Computed business Pulmonary Mass Vasculitis |
| Zdroj: | Internal Medicine. 40:786-790 |
| ISSN: | 1349-7235 0918-2918 |
| DOI: | 10.2169/internalmedicine.40.786 |
| Popis: | A 27-year-old man with a primary pulmonary lymphoma of large B-cell type is described. Symptoms involved both the upper and lower respiratory tract. A chest roentgenogram showed a dense mass with cavitation. Transbronchial biopsy specimens revealed no atypical cells, rather they demonstrated granulomatous infiltration and vasculitis consistent with but not conclusively diagnostic of Wegener's granulomatosis. The pulmonary mass became smaller after sulfamethoxazole-trimethoprim therapy. These features suggested Wegener's granulomatosis. However, an open biopsy specimen was diagnostic for diffuse lymphoma of large B-cell type. High-grade pulmonary lymphoma should be considered in the differential diagnosis of patients with clinical and pathologic features suggesting Wegener's granulomatosis. |
| Databáze: | OpenAIRE |
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