title: [A case of intravascular lymphomatosis with no abnormal findings on chest computed tomography and with diffuse pulmonary uptake of 67Ga on scintigraphy].
abstract: A 45-year-old man was admitted to our hospital with high-grade fever uncontrolled by antipyretic drugs, and elevation of the serum LDH and sIL-2R levels, and decrease of diffusing capacity for carbon monoxide. Chest computed tomography (CT) showed no abnormal findings but 67Ga scintigraphy revealed diffuse pulmonary uptake. He was given a diagnosis of intravascular lymphomatosis (IVL) based on transbronchial lung biopsy (TBLB) and immunohistochemical analysis. The prognosis of IVL is generally bad, because antemortem diagnosis is difficult. In this case early TBLB enabled satisfactory curative effect of IVL.
authors.affiliation: Department of Respiratory Medicine, Osaka City General Hospital.
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Iwagami
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Sumitani
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Imahashi
authors.forename: Hidemi
authors.initials: H
authors.lastname: Kiyota
authors.forename: Yuu
authors.initials: Y
authors.lastname: Kawano
authors.forename: Nobuhide
authors.initials: N
authors.lastname: Takifuji
authors.forename: Koji
authors.initials: K
authors.lastname: Takeda
authors.forename: Tatsuhiko
authors.initials: T
authors.lastname: Kashii
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D001706:Biopsy; D002248:Carbon Monoxide / Q000378:metabolism; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D004334:Drug Administration Schedule; D005710:Gallium Radioisotopes; D006801:Humans; D008168:Lung / Q000473:pathology; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016393:Lymphoma, B-Cell / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016403:Lymphoma, Large B-Cell, Diffuse / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D011241:Prednisone / Q000008:administration & dosage; D011653:Pulmonary Diffusing Capacity; D013902:Radiography, Thoracic; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014750:Vincristine / Q000008:administration & dosage
chemical_list: D005710:Gallium Radioisotopes; D014750:Vincristine; D002248:Carbon Monoxide; D004317:Doxorubicin; D003520:Cyclophosphamide; D011241:Prednisone