Iftikhar Asma, Magh Albert, Cheema Muhammed Azaz, Thappa Sarah, Sahni Sonu, Karbowitz Stephen
New York Presbyterian Hospital Queens Department of Pulmonary, Critical Care and Sleep Medicine 56-45 Main Street. Flushing, NY 11355.
Adv Respir Med. 2017;85(4):202-205. doi: 10.5603/ARM.2017.0033.
Primary lung lymphoma (PLL) is a rare unilateral or bilateral lung disorder that is challenging to diagnose solely based on clinical and radiological presentation. PLL may be misdiagnosed as pneumonia or a lung tumor due to non-specific findings. PLL is most frequently a mucosa-associated lymphoid tissue (MALT) lymphoma, a type of extranodal low-grade B-cell lymphoma most commonly discovered in the gastrointestinal tract. PLL should be considered in the differential diagnosis of non-resolving pneumonias. Herein we present a case of an 84-year-old patient discovered to have a primary pulmonary MALT lymphoma presenting as a non-resolving pneumonia causing a clinical challenge.
原发性肺淋巴瘤(PLL)是一种罕见的单侧或双侧肺部疾病,仅根据临床和影像学表现进行诊断具有挑战性。由于表现不具特异性,PLL可能被误诊为肺炎或肺部肿瘤。PLL最常见的是黏膜相关淋巴组织(MALT)淋巴瘤,这是一种结外低度B细胞淋巴瘤,最常出现在胃肠道。在鉴别诊断不愈性肺炎时应考虑PLL。在此,我们报告一例84岁患者,其被发现患有原发性肺MALT淋巴瘤,表现为不愈性肺炎,带来了临床挑战。