Weekly Chest CasesArchive of Old Cases

Case No : 7 Date 1997-12-15

  • Courtesy of Jae-Woo Song, M.D., Jung-Gi Im, M.D. / Boramae Hospital, Seoul National University Hospital
  • Age/Sex 55 / M
  • Chief Complaintdyspnea on exertion and nonproductive cough for one month
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Diagnosis With Brief Discussion

Diagnosis
T-cell lymphoma (Mycosis Fungoides)
Radiologic Findings
Brief Review
Mycosis fungoides is a T cell lymphoma that in its early stage predominantly affects the skin in a manner that clinically resembles eczema or psoriasis. A leukemic phase (Sezary's syndrome) can occur. Almost every organ of the body can be invaded late in the course of the disease. The most commonly affected organs are lymph nodes, liver, and lung. Approximately 50% of the patients have the pulmonary involvement. Radiologic findings are multiple, bilateral parenchymal nodules, patchy areas of consolidation, pleural effusion, and a diffuse reticulonodular pattern. Occasionally consolidation can develope very rapidly and can simulate acute pneumonia.
References
Keywords
Lung, Lymphproliferative disorder, Lymphoma,

No. of Applicants : 0

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