Primary Pulmonary Lymphoma Presenting as the Lung Abscess: A Case Report

Insiripong, Wattana; Insiripong, Somchai

doi:10.22259/2639-3581.0102004

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…Elevated LDH levels may serve as an additional diagnostic clue as they may represent tumour growth and invasive potential in neoplastic diseases. LDH was reported elevated in three cases as well as in ours 11 13 17…”

Section: Discussionsupporting

confidence: 67%

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Diffuse large B cell lymphoma presenting as multiple cavitary lung lesions

Uppal,

Hassan,

Ahari

2023

BMJ Case Rep

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A female patient in her 50s presented to the hospital with a 2 months history of shortness of breath and productive cough. She also had ongoing fatigue and unintentional weight loss. Investigations demonstrated a normal white cell count and elevated lactate dehydrogenase). A CT scan of the chest revealed multiple bilateral cavitary lung masses and pulmonary nodules. Bronchoscopy with transbronchial biopsy and fine needle aspiration of mediastinal lymph node was performed. The histopathology was consistent with the non-germinal centre B cell subtype of diffuse large B cell lymphoma (DLBCL). A regimen of rituximab, cyclophosphamide, doxorubicin, vincristine and prednisone was started, which improved her symptoms. Although a rare presentation, this case highlights the need to consider DLBCL among the differential diagnoses for cavitary lung lesions when the workup fails to elicit an alternate cause. Given its aggressive nature, prompt diagnosis and treatment are critical.

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Section: Discussionsupporting

confidence: 67%

“…Haemoptysis, fever, weight loss and fatigue were also commonly seen. The initial suspected diagnoses included lung abscesses and vasculitis 10–13. Biopsy helped confirm the diagnosis, although a delay was seen in most (ranging from 3 weeks to 9 months), with earlier diagnosed cases generally reporting better outcomes.…”

Section: Discussionmentioning

confidence: 99%

Diffuse large B cell lymphoma presenting as multiple cavitary lung lesions

Uppal,

Hassan,

Ahari

2023

BMJ Case Rep

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Diffuse large B cell lymphoma presenting as cavitary lung lesions—A misleading clinical debut diagnosed by fine‐needle aspiration

Pathak

Acharya

Rai

et al. 2021

Diagnostic Cytopathology

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Diffuse large B‐cell lymphoma presenting with cavitary lung disease

Hibino

Imai

Jinta

2020

Respirology Case Reports

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Diffuse large B-cell lymphoma (DLBCL) with cavitary lung disease is rare and is often difficult to differentiate from primary lung cancer, granulomatous disease, or an infectious disease based on imaging findings alone. We herein report a case in which a patient with DLBCL presented with cavitary lung disease and splenic mass, which was diagnosed by transbronchial biopsy. DLBCL should be considered as a differential diagnosis in patients with cavitary lung diseases who have rare metastatic lesions for primary lung cancer, such as intra-abdominal lymph nodes or spleen.

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Primary Pulmonary Lymphoma Presenting as the Lung Abscess: A Case Report

Abstract: Introduction:The common presentations of primary pulmonary lymphoma are a lung mass and small nodules.Objective: To describe a case of primary pulmonary lymphoma who was initially diagnosed and treated as the lung abscess.

Cited by 3 publications

References 6 publications

Diffuse large B cell lymphoma presenting as multiple cavitary lung lesions

Diffuse large B cell lymphoma presenting as multiple cavitary lung lesions

Diffuse large B cell lymphoma presenting as cavitary lung lesions—A misleading clinical debut diagnosed by fine‐needle aspiration

Diffuse large B‐cell lymphoma presenting with cavitary lung disease

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