Habib Mhd Baraa, Ali Khaled, Fael Mohamad, Sabbagh Bana, Basrak Mohamad Talal, Alkhalaila Osama, Alshurafa Awni
Internal Medicine Department Hamad Medical Corporation Doha Qatar.
Community Medicine Department Hamad Medical Corporation Doha Qatar.
Respirol Case Rep. 2024 Aug 11;12(8):e01441. doi: 10.1002/rcr2.1441. eCollection 2024 Aug.
Mediastinal diffuse large B-cell lymphoma (DLBC) may manifest in different presentations including systemic symptoms and local mass symptoms. We report two cases of diffuse large B-cell lymphoma presenting with pulmonary artery compression symptoms. The first case is of a 38-year-old Asian man which mimicked pulmonary embolism, and the second one is of a 27-year-old Asian woman who presented with fainting and respiratory symptoms due to local mass effect. Both cases were significantly improved after treatment. Local mass effect symptoms may be the first clinical presentation in DLBC lymphoma and should not be overlooked.
纵隔弥漫性大B细胞淋巴瘤(DLBC)可能有不同的表现,包括全身症状和局部肿块症状。我们报告两例表现为肺动脉压迫症状的弥漫性大B细胞淋巴瘤病例。第一例是一名38岁的亚洲男性,症状类似肺栓塞;第二例是一名27岁的亚洲女性,因局部肿块效应出现晕厥和呼吸道症状。两例患者经治疗后均有显著改善。局部肿块效应症状可能是DLBC淋巴瘤的首发临床表现,不应被忽视。