Bilateral pulmonary nodules as a manifestation of primary pulmonary T-cell lymphoma.
Primary pulmonary lymphoma (PPL) is an uncommon pathology and is usually of the B-cell type, originating in lymphoid tissue associated with the bronchial mucosa (MALT/BALT lymphoma). Very few cases of T-cell PPL, the majority diagnosed by open lung biopsy, have been described in medical literature. We report a case of an immunocompetent patient with fever and bilateral pulmonary nodules, diagnosed with T-cell PPL by transbronchial biopsy. The patient's condition deteriorated and she responded poorly to chemotherapy. PPL should be included in the differential diagnosis of patients with fever and bilateral pulmonary nodules.
Bernabeu Mora
Roberto
R
Pneumology Service, Hospital General Universitario Morales Meseguer, C/Marques de los Vélez, s/n, 30008, Murcia, Spain. rbernabeumora@hotmail.com.
Sánchez Nieto
Juan Miguel
JM
Pneumology Service, Hospital General Universitario Morales Meseguer, C/Marques de los Vélez, s/n, 30008, Murcia, Spain.
Nieto Olivares
Andrés
A
Pathological Anatomy Service, Hospital General Universitario Morales Meseguer, Murcia, Spain.
D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology*; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D016399:Lymphoma, T-Cell / Q000000981:diagnostic imaging / Q000473:pathology*; D055613:Multiple Pulmonary Nodules / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed