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...
Main Authors: | , , , , , |
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Format: | Article |
Language: | English |
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Wiley
2020-06-01
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Series: | Thoracic Cancer |
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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. |
first_indexed | 2024-12-21T12:01:09Z |
format | Article |
id | doaj.art-ce2c10573eab46bb996b56e2f041d755 |
institution | Directory Open Access Journal |
issn | 1759-7706 1759-7714 |
language | English |
last_indexed | 2024-12-21T12:01:09Z |
publishDate | 2020-06-01 |
publisher | Wiley |
record_format | Article |
series | Thoracic Cancer |
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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