[A case of primary pulmonary MALT lymphoma with diffuse micronodules and anemia].
A 52-year-old woman presented with low grade fever and fatigue. She had diffuse micronodules in both lung fields on chest X-ray. Chest CT showed diffuse multiple small nodules. Laboratory examination revealed high values for C-reactive protein, together with anemia and polyclonal hyper-immunoglobulinemia and an elevated interleukin-6 level. Although we suspected multicentric Castleman's disease, thoracoscopic lung biopsy revealed primary pulmonary MALT lymphoma by immunohistochemical analysis of tissue specimens. After COP and rituximab therapy, partial remission was obtained.
Asano
Toshiaki
T
Department of Respiratory Medicine, Ogaki Municipal Hospital.
Kitaichi
Masanori
M
Hase
Tetunari
T
Nakashima
Harunori
H
Abe
Takashi
T
Ando
Morihide
M
Shindo
Joe
J
Horiba
Michiaki
M
D000740:Anemia / Q000150:complications*; D005260:Female; D006801:Humans; D015850:Interleukin-6 / Q000097:blood; D008175:Lung Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D018442:Lymphoma, B-Cell, Marginal Zone / Q000150:complications / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D003074:Solitary Pulmonary Nodule / Q000150:complications / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
D015850:Interleukin-6