Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma

Abstract Extranodal marginal zone B‐cell lymphoma (EMZBL), previously known as mucosa‐associated lymphoid tissue lymphoma, is the most common type of marginal zone B‐cell lymphomas. Primary pulmonary lymphomas only constitute 0.5% of primary lung cancer, but 90% of these are EMZBLs. Primary pulmonar...

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Main Authors: Pei‐Hsuan Lu, Chung‐Yao Huang, Zong‐Yi Jhou, Wei‐Ming Huang, Chia‐Hung Chen, Chun‐Chao Huang
Format: Article
Language:English
Published: Wiley 2020-06-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.13453
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author Pei‐Hsuan Lu
Chung‐Yao Huang
Zong‐Yi Jhou
Wei‐Ming Huang
Chia‐Hung Chen
Chun‐Chao Huang
author_facet Pei‐Hsuan Lu
Chung‐Yao Huang
Zong‐Yi Jhou
Wei‐Ming Huang
Chia‐Hung Chen
Chun‐Chao Huang
author_sort Pei‐Hsuan Lu
collection DOAJ
description Abstract Extranodal marginal zone B‐cell lymphoma (EMZBL), previously known as mucosa‐associated lymphoid tissue lymphoma, is the most common type of marginal zone B‐cell lymphomas. Primary pulmonary lymphomas only constitute 0.5% of primary lung cancer, but 90% of these are EMZBLs. Primary pulmonary lymphomas share similar imaging features with secondary pulmonary lymphomas. Imaging diagnosis is challenging because many benign and other malignant lung lesions can display similar features. Here, we demonstrate a 70‐year‐old male case with lung tumors and only mesenteric lymphadenopathy, which was eventually diagnosed as advanced pulmonary EMZBL with involvement of the mesenteric lymph nodes and bone marrow. Pulmonary masses have a wide differential diagnosis, but concurrent isolated mesenteric lymphadenopathy might be a radiological clue to pulmonary lymphoma. Key points Concurrent isolated mesenteric lymphadenopathy might be a radiological clue to pulmonary lymphoma. For nonspecific lung tumors, additional abdominal computed tomography (CT) scan might be helpful for diagnosis of possible lymphoma.
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spelling doaj.art-ce2c10573eab46bb996b56e2f041d7552022-12-21T19:04:49ZengWileyThoracic Cancer1759-77061759-77142020-06-011161738174010.1111/1759-7714.13453Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphomaPei‐Hsuan Lu0Chung‐Yao Huang1Zong‐Yi Jhou2Wei‐Ming Huang3Chia‐Hung Chen4Chun‐Chao Huang5Department of Radiology MacKay Memorial Hospital Taipei TaiwanDepartment of Radiology MacKay Memorial Hospital Taipei TaiwanDepartment of Radiology MacKay Memorial Hospital Taipei TaiwanDepartment of Radiology MacKay Memorial Hospital Taipei TaiwanDepartment of Radiology MacKay Memorial Hospital Taipei TaiwanDepartment of Radiology MacKay Memorial Hospital Taipei TaiwanAbstract Extranodal marginal zone B‐cell lymphoma (EMZBL), previously known as mucosa‐associated lymphoid tissue lymphoma, is the most common type of marginal zone B‐cell lymphomas. Primary pulmonary lymphomas only constitute 0.5% of primary lung cancer, but 90% of these are EMZBLs. Primary pulmonary lymphomas share similar imaging features with secondary pulmonary lymphomas. Imaging diagnosis is challenging because many benign and other malignant lung lesions can display similar features. Here, we demonstrate a 70‐year‐old male case with lung tumors and only mesenteric lymphadenopathy, which was eventually diagnosed as advanced pulmonary EMZBL with involvement of the mesenteric lymph nodes and bone marrow. Pulmonary masses have a wide differential diagnosis, but concurrent isolated mesenteric lymphadenopathy might be a radiological clue to pulmonary lymphoma. Key points Concurrent isolated mesenteric lymphadenopathy might be a radiological clue to pulmonary lymphoma. For nonspecific lung tumors, additional abdominal computed tomography (CT) scan might be helpful for diagnosis of possible lymphoma.https://doi.org/10.1111/1759-7714.13453Extranodal marginal zone B‐cell lymphomalung tumorsmesenteric lymphadenopathymucosa‐associated lymphoid tissue lymphomapulmonary lymphoma
spellingShingle Pei‐Hsuan Lu
Chung‐Yao Huang
Zong‐Yi Jhou
Wei‐Ming Huang
Chia‐Hung Chen
Chun‐Chao Huang
Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma
Thoracic Cancer
Extranodal marginal zone B‐cell lymphoma
lung tumors
mesenteric lymphadenopathy
mucosa‐associated lymphoid tissue lymphoma
pulmonary lymphoma
title Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma
title_full Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma
title_fullStr Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma
title_full_unstemmed Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma
title_short Mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma
title_sort mesenteric lymphadenopathy is a key to diagnosis of radiologically challenging pulmonary lymphoma
topic Extranodal marginal zone B‐cell lymphoma
lung tumors
mesenteric lymphadenopathy
mucosa‐associated lymphoid tissue lymphoma
pulmonary lymphoma
url https://doi.org/10.1111/1759-7714.13453
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AT zongyijhou mesentericlymphadenopathyisakeytodiagnosisofradiologicallychallengingpulmonarylymphoma
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