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

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 lymphom...

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Bibliographic Details
Published in:	Thoracic cancer Vol. 11; no. 6; pp. 1738 - 1740
Main Authors:	Lu, Pei‐Hsuan, Huang, Chung‐Yao, Jhou, Zong‐Yi, Huang, Wei‐Ming, Chen, Chia‐Hung, Huang, Chun‐Chao
Format:	Journal Article
Language:	English
Published:	Melbourne John Wiley & Sons Australia, Ltd 01.06.2020 John Wiley & Sons, Inc Wiley
Subjects:	Abdomen Aged Biopsy Bone marrow Bone Marrow - diagnostic imaging Bone Marrow - pathology Case Report Case Reports Diagnosis, Differential Extranodal marginal zone B‐cell lymphoma Humans Lung cancer Lung Neoplasms - complications Lung Neoplasms - diagnosis Lung Neoplasms - diagnostic imaging lung tumors Lymph Nodes - diagnostic imaging Lymph Nodes - pathology Lymphadenopathy - complications Lymphadenopathy - diagnosis Lymphadenopathy - diagnostic imaging Lymphoma Lymphoma, B-Cell, Marginal Zone - complications Lymphoma, B-Cell, Marginal Zone - diagnosis Lymphoma, B-Cell, Marginal Zone - diagnostic imaging Male Medical imaging mesenteric lymphadenopathy mucosa‐associated lymphoid tissue lymphoma Prognosis pulmonary lymphoma Extranodal marginal zone B-cell lymphoma lung tumors mesenteric lymphadenopathy pulmonary lymphoma mucosa-associated lymphoid tissue lymphoma
ISSN:	1759-7706, 1759-7714, 1759-7714
Online Access:	Get full text
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Report-3 ObjectType-Case Study-4 ObjectType-Case Study-2 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1759-7706 1759-7714 1759-7714
DOI:	10.1111/1759-7714.13453