Department of Internal Medicine, Jeju National University Hospital Jeju, Korea.
Department of Pathology, Jeju National University Hospital Jeju, Korea.
Thorac Cancer. 2014 Jan;5(1):78-81. doi: 10.1111/1759-7714.12027. Epub 2014 Jan 2.
Non-Hodgkin lymphoma only rarely occurs as a primary lung mass. We report a very rare case of primary pulmonary anaplastic large cell lymphoma presenting with acute atelectasis in a 55-year-old man. Chest computed tomography revealed a consolidated central mass in the left lung with obstructive pneumonia that had developed into total atelectasis. After a bronchoscopic examination failed to yield a definite diagnosis, supraclavicular lymph node biopsy was performed, revealing an anaplastic large cell lymphoma. This case illustrates the need for rapidly locating a possible biopsy site, other than the primary lung mass itself, and the value of empirical steroid treatment for avoiding devastating exacerbation when aggressive pulmonary lymphoma is suspected.
非霍奇金淋巴瘤很少作为原发性肺部肿块出现。我们报告了一例非常罕见的原发性肺间变大细胞淋巴瘤病例，该病例表现为 55 岁男性的急性肺不张。胸部计算机断层扫描显示左肺中央实变肿块伴阻塞性肺炎，发展为全肺不张。支气管镜检查未能明确诊断后，进行锁骨上淋巴结活检，显示为间变大细胞淋巴瘤。本例说明了需要快速找到可能的活检部位，而不仅仅是原发性肺部肿块本身，并且在怀疑侵袭性肺淋巴瘤时，经验性类固醇治疗对于避免破坏性加重具有重要价值。
