Intravascular Large B-cell Lymphoma Presenting Pulmonary Arterial Hypertension as an Initial Manifestation
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概要
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We report a 39-year-old man with intravascular large B-cell lymphoma (IVLBCL) who had been treated as a case with pulmonary arterial hypertension (PAH) for one year. After he became worse, diffuse pulmonary 18F-fluorodeoxyglucose (FDG) uptake in positron emission tomography (PET) suggested the existence of IVLBCL in the lung showing normal CT images. The diagnosis was confirmed with random transbronchial lung biopsy, and he was then successfully treated. Since IVLBCL presenting PAH has been rare and is difficult to diagnose, early application of FDG-PET may provide early recognition of the disorder, leading to a better outcome.
著者
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TAKE Hironori
Department of Internal Medicine, Toyonaka Municipal Hospital
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Take Hironori
Department Of Internal Medicine Toyonaka Municipal Hospital
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Nakagawa Tsutomu
Department Of Cardiology Toyonaka Municipal Hospital
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TAKIMOTO Takayuki
Department of Internal Medicine, Toyonaka Municipa Hospital
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Kosugi Satoru
Department of Hematology and Oncology, Graduate School of Medicine, Osaka University
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Kotake Takeshi
Department of Internal Medicine, Toyonaka Municipal Hospital
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Takimoto Takayuki
Department of Internal Medicine, Toyonaka Municipal Hospital
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Nakata Soichi
Department of Internal Medicine, Toyonaka Municipal Hospital
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Shiga Junko
Department of Internal Medicine, Toyonaka Municipal Hospital
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Nagate Yasuhiro
Department of Internal Medicine, Toyonaka Municipal Hospital
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Katagiri Shuichi
Department of Internal Medicine, Toyonaka Municipal Hospital
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