Weekly Chest CasesArchive of Old Cases

Case No : 299 Date 2003-07-19

  • Courtesy of Su Mi Shin, M.D., Kun-Il Kim, M.D. / Pusan National University Hospital, Busan, Korea
  • Age/Sex 41 / F
  • Chief ComplaintDyspnea and cough for several weeks
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4

Diagnosis With Brief Discussion

Diagnosis
BALT Lymphoma
Radiologic Findings
Chest radiograph shows an increased opacity in right lower lung zone with obliteration of the right atrial border. Thin section CT scans show the consolidation in right middle lobe with surrounding ground-glass and fine reticular opacity. Note focal posterior bulging of major fissure at the area of dense consolidation.

Histopathologic examination on the specimen obtained by transbronchial lung biopsy shows diffuse infiltrates of small atypical centrocyte-like lymphocytes, with destroyed bronchiolar wall (“lymphoepithelial lesions”). These findings are consistent with of low grade B-cell lymphoma.
Brief Review
Please refer to
Case 272,
References
Keywords
Lung, Lymphproliferative disorder, Lymphoma,

No. of Applicants : 25

▶ Correct Answer : 10/25,  40.0%
  • - Annecy Hospital, France Gilles Genin
  • - Chungju Hospital Konkuk University, Korea Chang Hee Lee
  • - CIM Saint Dizier, France JC Leclerc
  • - Ewha Women's University Hospital, Korea Sung Shine Shim
  • - Hangang Sacred Heart Hospital, Korea Eil Seong Lee
  • - Incheon Sarang Hospital, Korea Jung Hee Kim
  • - MD anderson cancer center, TX, USA Jeong-Geun Yi
  • - Tokyo Kouseinenkin Hospital , Japan Noriatsu Ichiba
  • - Yonsei University, Severance Hospital Hyun-Seok Choi
  • - Yonsei University, Severance Hospital Hyun-Kyung Jung
▶ Semi-Correct Answer : 11/25,  44.0%
  • - Chonnam National University Hospital, Korea Jun-Ho Choi
  • - Chonnam National University Hospital, Korea Suk-Hee Heo
  • - Chonnam National University Hospital, Korea Jung Kim
  • - Chonnam National University Hospital, Korea Eun Ju Lee
  • - Chonnam National University Hospital, Korea Yong-Joo Moon CHU
  • - Nancy-Brabois, France Denis Regent
  • - Epm-Unifesp & Fleury Med. Diag. Center, Brazil Gustavo Meirelles
  • - Ohio State University, Ohio, USA Sumit Seth
  • - Ondokuz Mayis University, Samsun, Turkey Cetin Celenk
  • - Seoul National University Hospital, Korea Jae-Joon Yim
  • - Social Security Hospital, Ankara, Turkey Meric Tuzun
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