Tong Lin, Gan Guixiang, Xu Chen, Yuan Ling, Li Zhuozhe, Li Huayin
Department of Pulmonary Medicine Zhongshan Hospital, Fudan University Shanghai China.
Shanghai Respiratory Research Institute Shanghai China.
Respirol Case Rep. 2018 Jul 11;6(7):e00346. doi: 10.1002/rcr2.346. eCollection 2018 Oct.
Mantle cell lymphoma (MCL) is a rare type of B-cell non-Hodgkin's lymphoma that commonly affects extranodal sites; however, tracheobronchial involvement is rare. We report the case of a 65-year-old male who presented with cough and dyspnoea. A chest computed tomography (CT) revealed irregular wall thickening of the trachea and bilateral bronchi and bilateral bronchiectasis. A bronchoscopy revealed a diffuse irregular surface of the tracheal and bilateral bronchial mucosa and polyposis-like lesions. He was diagnosed with MCL based on an endobronchial biopsy, and then, the diagnosis was confirmed with a biopsy of the fluorodeoxyglucose (FDG)-avid nasal mucosal soft tissue.
套细胞淋巴瘤（MCL）是一种罕见的B细胞非霍奇金淋巴瘤，通常累及结外部位；然而，气管支气管受累情况罕见。我们报告一例65岁男性，表现为咳嗽和呼吸困难。胸部计算机断层扫描（CT）显示气管和双侧支气管壁不规则增厚以及双侧支气管扩张。支气管镜检查显示气管和双侧支气管黏膜表面弥漫性不规则及息肉样病变。经支气管活检诊断为MCL，随后通过氟脱氧葡萄糖（FDG）摄取阳性的鼻黏膜软组织活检确诊。
