Petrella V, Massara G, Galimberti M, Silvera F
Minerva Med. 1987 Feb 28;78(4):219-21.
The location on first diagnosis of a non-Hodgkin lymphoma (NH lymphoma) in the respiratory structures (bronchi, pleura, pulmonary parenchyma) is rather rare (2-4%) in the absence of mediastinic and/or hilar adenopathy. In any event diagnosis is extremely difficult, often impossible even with the aid of a properly conducted biopsy since the biopsy does not provide suitable material. The case is presented of a 72 year old woman with intermittent hyperpyrexia and multiple alveolar masses, the aetiology of which was only identified 8 months after the onset of the symptoms with the appearance of latero-cervical lymphadenopathy where biopsy revealed the presence of an N.H. lymphoma that was highly malignant but otherwise unspecificable.
非霍奇金淋巴瘤（NH淋巴瘤）首次诊断位于呼吸结构（支气管、胸膜、肺实质）且无纵隔和/或肺门淋巴结肿大的情况相当罕见（2% - 4%）。无论如何，诊断极其困难，即便进行恰当的活检往往也无法确诊，因为活检无法获取合适的材料。本文报告了一例72岁女性患者，有间歇性高热和多个肺泡肿块，症状出现8个月后出现颈侧淋巴结肿大，活检显示存在高度恶性但无法明确具体类型的NH淋巴瘤，此时才明确病因。
