Right Middle Lobe Single Pulmonary Opacity With Air Bronchogram: A Problem-Solving Case Report
| Autor: | Sara Khademolhosseini, Seyedmohammad Pourshahid, Milana Zirkiyeva, Theo Trandafirescu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pulmonology Lung biopsy 030204 cardiovascular system & hematology extranodal mzl 03 medical and health sciences 0302 clinical medicine Bronchoscopy problem-solving Biopsy medicine pulmonary maltoma Bronchoscopy with Biopsy Lung medicine.diagnostic_test business.industry Thyroid General Engineering medicine.disease marginal zone lymphoma Lymphoma medicine.anatomical_structure Oncology Positron emission tomography maltoma Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| DOI: | 10.7759/cureus.15204 |
| Popis: | Marginal zone lymphoma (MZL) is a relatively uncommon subtype of non-Hodgkin lymphoma consisting of extranodal, nodal, and splenic MZL. Mucosa-associated lymphoma constitutes the majority of extranodal MZL including but not limited to the stomach, lung, salivary gland, ocular adnexa, skin, and thyroid. Depending on the site of origin, maltoma may present with different symptoms. Here we present a patient who presented to the pulmonary clinic for further evaluation of a right middle lobe consolidation. She was treated with a course of antibiotics empirically with no interval change in imaging. She underwent bronchoscopy with biopsy. Pathology was remarkable for extensive lymphoid infiltrates consisting of mixed B and T lymphocytes. Positron emission tomography (PET) CT demonstrated mild uniform uptake in consolidation with no evidence of PET avid distant metastasis. CT-guided biopsy was consistent with extranodal marginal zone lymphoma. She underwent right middle lobectomy with no complications. As mentioned in our case, bronchoscopy is usually nondiagnostic and a lung biopsy is needed in pulmonary maltoma. Treatment is based on the tumor location and extent of the disease. Prognosis is good with an 86-95% five-year survival. |
| Databáze: | OpenAIRE |
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