Archive of Old Cases
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Case No : 426 Date 2005-12-26
- Courtesy of Eun Ju Chun, MD, Hyun Ju Lee, MD. / Seoul National University Hospital, Korea
- Age/Sex 49 / F
- Chief ComplaintDry cough for four months
Discussion
Diagnosis With Brief Discussion
- Diagnosis
- Pulmonary Lymphoma of the BALT (bronchus-associated lymphoid tissue)
- Radiologic Findings
- Chest radiograph shows multiple nodular opacity in both lung. Coronal reconstructed CT scan and axial CT scans also show multiple variable sized nodules in both lung with scattering without zonal predominance. Histopathologic examination on the specimen obtained by wedge resection of RML shows dominant population of obviously atypical large cells, as well as the destruction of lung parenchyma. Note the coarse chromatin and highly irregular and distinct nuclear shape. Immuoreactivity for CD20 is strong in this B-cell large cell lymphoma of the lung.
- Brief Review
- References
- Please refer to
- Case 41 Case 299
- Keywords
- Lung, Lymphproliferative disorder, Lymphoma,
No. of Applicants : 33
- ▶ Correct Answer : 1/33, 3.0%
-
- - Hanyang University Hospital, Korea Yo Won Choi
- ▶ Correct Answer as Differential Diagnosis : 12/33, 36.4%
-
- - Ondokuz Mayis University, Samsun, Turkey Cetin Celenk
- - Clinic 1, Moscow, Russia Lepikhina Dasha
- - Social Security Hospital, Ankara, Turkey Meric Tuzun
- - Radiologie Guiton, La Rochelle, France Denis Chabassiere
- - China Medical University Hospital,Taiwan Jun-Jun Yeh
- - Annecy Hospital, France Gilles Genin
- - ASL Bologna, Maggiore Hospital, Bologna, Italy Marcellino Burzi
- - Homs National Hospital, Homs, Syria Rami Abou Zalaf
- - Annemasse, Polyclinique de Savoie, France Gay-Depassier
- - Max Hospital, New Delhi, India Vickrant Malhotra
- - Radiologie Guiton, La Rochelle, France Jean-Luc Bigot
- - Ohio State University Medical Center, USA Haricharan Reddy
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