Primary pulmonary diffuse large B ‐cell lymphoma presenting multiple nodules mimicking metastasis: A case report
We describe a case of pulmonary lymphoma with multiple nodules mimicking metastases in a treated patient with rheumatoid arthritis. A 73-year-old man was diagnosed with rheumatoid arthritis at the age of 30. He was treated with leflunomide. He was followed up for a nontuberculous mycobacterial infection. He underwent percutaneous coronary intervention for acute myocardial infarction a t the age of 70. In April 2022, routine follow-up revealed new-onset multiple nodules on chest computed tomography (CT). A position emission tomography/CT scan with 18F-fluorodeoxyglucose showed a low-high maximum standardized uptake value by multiple nodules. Pathologic examination of a video-assis ted thoracic surgical biopsy revealed pulmonary diffuse large B-cell lymphoma. Systemic chemotherapy with rituximab, cyclophosphamide, vincristine, and prednisolone reduced and eliminated multiple nodules. Pulmonary lymphoma should be considered as a differential diagnosis in the case of multiple no dules on a chest CT.
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Nobuhiro Fujioka,
Yoshiro Kai,
Ryosuke Kataoka,
Kentaro Suzuki,
Kazuhiro Sakaguchi,
Yoshifumi Yamamoto,
Takeshi Kawaguchi,
Noriyoshi Sawabata,
Haruyuki Tanaka,
Minami Matsuoka,
Maiko Takeda,
Shigeo Muro Tags: CASE REPORT Source Type: research
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