대한흉부영상의학회 Weekly Chest Cases

Case No : 1377 Date 2024-03-12

Courtesy of Sun Joosung / Ajou University School of Medicine, Dept of Radiology
Age/Sex 65 / M
Chief ComplaintDyspnea

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Diagnosis With Brief Discussion

Diagnosis: Tracheal involvement of peripheral T cell lymphoma
Radiologic Findings: 1. Diffuse circumferential tracheal wall thickening from aortic arch to carina level of trachea.
2. Resultant luminal narrowing of the trachea.
3. Rt axillar LN enlargement
4. Rt anterior chest wall mass.
Brief Review: Peripheral T-cell lymphoma (PTCL)
- Subtype of non-Hodgkin’s lymphoma (5~10% of NHL)
 Develop from more mature forms of T cells
- Generally, presents with lymphadenopathy
- Extranodal presentation is common and bone marrow is the MC site
- Pulmonary involvement: 3~24%
 Mass-like consolidations, small nodules, interstitial infiltrates, peribronchial and perivascular thickening, hilar or mediastinal LN enlargement, pleural effusion
 Endobronchial lesion is rare
- More common in Asia than in the West
- Exposure to environmental and certain infectious agents like human T-cell lymphotropic virus type-1 and Epstein-Barr virus is one of the reasons for geographic variation.
- Median age at diagnosis is 59 years.
References
Keywords

No. of Applicants : 84

▶ Correct Answer : 12/84, 14.3%

- , Japan SUZUNE TSUKAMOTO
- Healthy Longevity Medical Center , Japan SHIN-ICHI CHO
- Vita Hospital , Brazil DIOGO LAGO PINHEIRO
- Korea University Guro Hospital , Korea (South) JUNE HO CHOI
- The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
- Gifu University Hospital , Japan Yo Kaneko
- Shiga General Hospital , Japan YUSAKU MORIBATA
- Korea University Guro Hospital , Korea (South) LEE DAKYONG
- Mie university , Japan SHIKO OKABE
- Kyoto University , Japan SHO KOYASU
- Hyogo Prefectural Kobe Children , Japan SHUHEI NORIMOTO
- , China LI GUO

▶ Correct Answer as Differential Diagnosis : 35/84, 41.7%

- medical scanning , Japan HIROAKI ARAKAWA
- ZIGONG TCM HOSPITAL OF CHINA , China CAO CUN YOU
- Showa General Hospital , Japan MASAFUMI KAIUME
- Shiga University of Medical Science , Japan AKITOSHI INOUE
- Oita university , Japan AYUMI KAMEI
- Kyoto City Hospital , Japan YUSUKE UTSUNOMIYA
- , Korea (South) DONG-HO BANG
- , Italy PAOLO BALDASSARI
- Other , Korea (South) SEONGSU KANG
- Scans world , India PHILSON JOSEPH MUKKADA
- Uniyersity of Yamanashi , Japan TAKAAKI HASHIMOTO
- University of Yamanashi , Japan HIROYUKI MORISAKA
- Nagoya University , Japan YASUSHI AOYAGI
- , Japan YOSHIKI ISHII
- Nankai medical center , Japan NORITAKA KAMEI
- Kyoto University Hospital , Japan YASUHISA KURATA
- Other , Korea (South) CHAEHUN LIM
- Osaka Metropolitan University Hospital , Japan SHU MATSUSHITA
- , Japan SHUNJIRO NOGUCHI
- University of Yamanashi , Japan HISASHI JOHNO
- Jichi Medical University, School of Medicine , Japan MITSURU MATSUKI
- University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
- Kyoto university , Japan HIROKAZU SAWAMURA
- Dokkyo Medical University , Japan HIROAKI ARAKAWA
- TB centre kasaragod. , India rikhy krishnan
- Korea University Anam Hospital , Korea (South) KYU-CHONG LEE
- Paras hospital, Panchkula , India SHALEEN RANA
- Ichinomiya Nishi Hospital , Japan Takao Kiguchi
- Nerimahikarigaoka hospital , Japan TAKANA HAYASHI
- Matsunami General Hospital , Japan TARO TAKEDA
- , Japan YUMI MAEHARA
- Toyota Kosei Hospital , Japan YUKI HAYASHI
- University of Yamanashi , Japan TIHAN WUMU
- the first affiliatited hospital of nanjing medical univercity , China HAI XU
- , Korea (South) JIN WOO YOON

▶ Semi-Correct Answer : 2/84, 2.4%

- Secomedic Hospital , Japan FUMINORI MIYOSHI
- Yamanashi Prefectural Central Hospital , Japan HIROAKI WATANABE

대한흉부영상의학회 Korean Society of Thoracic Radiology

Archive of Old Cases

Case No : 1377 Date 2024-03-12

Discussion

No. of Applicants : 84