Pulmonary Relapse of Non-Hodgkins Lymphoma in Bilateral Upper Lobes
スポンサーリンク
概要
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We describe a 68-year-old male patient with diffuse large B-cell lymphoma (DLBCL) who suffered from relapse in bilateral upper lobes of the lung. The patient presented with cough, weakness and fever. A bronchovascular-lymphangitis-like shadow was detected in the bilateral upper lobes on a chest roentgenogram. Although cytological and cytofluorometric examinations revealed no malignant cells in the bronchoalveolar lavage fluid, trans-bronchial lung biopsy (TBLB) showed involvement of DLBCL in the bronchial mucosa. Recurrent lymphoma tends to extend along the bronchovascular bundles, resulting in granulomatous consolidation that may mimic tuberculosis and is likely to involve the lower lobes. Thus, TBLB proved to be essential for the diagnosis of the lung involvement of non-Hodgkins lymphoma (NHL).
著者
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Fujimoto Yoshiko
Department Of Molecular Hematology And Oncology Graduate School Of Medical Science Kyoto Prefectural
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Horiike Shigeo
Department Of Hematology/oncology Kyoto Prefectural University Of Medicine
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Taniwaki Masafumi
Department Of Clinical Molecular Genetics And Laboratory Medicine Kyoto Prefectural University Of Me
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Yoshida Naohisa
Department Of Gastroenterology And Hepatology Nara City Hospital
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Nomura Kenichi
Department Of Hematology And Oncology Kyoto Prefectural University Of Medicine
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Okuda Takashi
Department Of Applied Information Science And Technology Faculty Of Information Science And Technolo
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Matsumoto Yosuke
Department Of Hematology/oncology Kyoto Prefectural University Of Medicine
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Shimizu Daisuke
Department Of Breast And Thyroid Surgery Yokohama City University Medical Center
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Horiike Shigeo
Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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Taniwaki Masafumi
Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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Taki Tomohiko
Department of Molecular Cytogenetics and Laboratory Medicine, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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Okuda Takashi
Department of Molecular Cytogenetics and Laboratory Medicine, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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Fujimoto Yoshiko
Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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Fujimoto Yoshiko
Department of Hematology and Oncology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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Nomura Kenichi
Department of Molecular Hematology and Oncology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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Matsumoto Yosuke
Department of Hematology and Oncology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science
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