继发性肺恶性淋巴瘤伴多发肺结节及多刺1例。

Naohiro Furuhashi, Yasuteru Sugino, Junya Okumura, Yushi Saito, Junji Hiraga, Satoshi Kitagawa
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引用次数: 0

摘要

一名72岁男性以疲劳和贫血来我院就诊。胸部CT示多发结节影。我们首先怀疑肺癌和多发性转移性病变,因为一些结节有细刺。然而,PET-CT显示小肠、甲状腺和肋骨以及这些结节对FDG摄取呈阳性,提示恶性淋巴瘤和肺部累及。为了诊断,通过电视辅助胸外科手术(VATS)进行肺活检。肺活检病理显示弥漫性大b细胞淋巴瘤。我们诊断为继发性肺恶性淋巴瘤。
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[A case of secondary pulmonary malignant lymphoma with multiple pulmonary nodules and spiculation].

A 72-year-old man presented to our hospital with fatigue and anemia. Chest CT showed multiple nodular shadows. We first suspected lung cancer and multiple metastatic lesions because some nodules had spiculation. However, PET-CT revealed the small intestine, thyroid and rib as well as these nodules to be positive for FDG uptake, suggesting malignant lymphoma and lung involvement. For diagnosis, lung biopsy by video-assisted thoracic surgery (VATS) was performed. Pathologic examination of the lung biopsy specimen showed diffuse large B-cell lymphoma. We diagnosed secondary pulmonary malignant lymphoma.

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