一般社団法人日本呼吸器学会 公式サイト
日本呼吸器学会英文誌 Respiratory Investigation
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 検索用
日本呼吸器学会誌 増刊号 学術講演会プログラム 抄録集 全文PDF

Abstract

Full Text of PDF Full Text of PDF (776k)
Article in Japanese

Diagnostic Imaging

A case of diffuse large B cell lymphoma showed peculiar chest image findings resembling cardiac pulmonary edema

Kei Nakashimaa  Kosei Matsueib  Hiroki Yamamotob  Motohisa Takaia  Hiroki Sugiharab  Masahiro Aoshima 

aDepartment of Pulmonology, Kameda Medical Center
bDepartment of Hematology, Kameda Medical Center

ABSTRACT

A 73-year-old woman visited our hospital with chief complaint of dyspnea. She had been diagnosed as marginal zone B cell lymphoma of the mucosa-associated lymphoid tissue type by parotid gland tumor biopsy two years earlier. Chest computed tomography on admission showed infiltrates resembling cardiogenic pulmonary edema and bilateral pleural effusion. An 18-fluorodeoxyglucose-positron emission tomography/computed tomography revealed standard uptake value of 3.71 to 17.02 in bilateral neck lymph nodes, bilateral lung fields, the pancreas head, the right kidney, the left urinary tract, and the lymph nodes near the urinary tract. While bronchoscopic examination and thoracentesis showed no malignancy, biopsy of subcutaneous nodule under the left ear led to the definitive diagnosis of diffuse large B cell lymphoma. After chemotherapy was started, pulmonary infiltrates and pleural effusion diminished. Complete remission was attained after 6 cycles of chemotherapy.

KEYWORDS

Diffuse large B cell lymphoma  Marginal zone B cell lymphoma of the mucosa-associated lymphoid tissue type  Pulmonary edema 

Received 20 Oct 2013 / Accepted 17 Jan 2014

AJRS, 3(3): 451-456, 2014

Google Scholar