Atypical Presentation of Lymphomatoid Granulomatosis in a Patient with Longstanding Sarcoidosis

Autor: Paul S Koh, Annette HC Foyle, Yannick Cartier, G Ross Langley, Nancy J Morrison, Graeme Rocker, Alan G Casson
Jazyk: angličtina
Rok vydání: 2004
Předmět:
Zdroj: Canadian Respiratory Journal, Vol 11, Iss 1, Pp 51-54 (2004)
Druh dokumentu: article
ISSN: 1198-2241
DOI: 10.1155/2004/604923
Popis: A patient was recently evaluated who had longstanding sarcoidosis with lymphadenopathy and multiple, small lung nodules, and who developed a new, 9 cm solitary pulmonary mass in the right lower lobe. After thoracotomy, this lesion was ultimately found to be lymphomatoid granulomatosis, a rare lymphoproliferative disorder. Radiographic evaluations of patients with this disorder characteristically show multiple, bilateral reticulonodular opacities that follow the bronchovascular bundles; however, presentation with a solitary, large pulmonary mass is rare. The present case illustrates the need for complete evaluation of new clinical and radiographic findings in the setting of chronic lung disease.
Databáze: Directory of Open Access Journals