Primary pleural lymphoma: plaque-like thickening of the pleura.
Primary pleural lymphoma is a rare entity that has been described in association with human immunodeficiency virus (HIV) infection or pyothorax. We report a 63-year-old-man with no history of HIV infection or pyothorax who presented with progressive dyspnea and nonproductive cough. Chest radiography revealed complete opacification of the left hemithorax, and contrast-enhanced computed tomography showed large left pleural effusion and thin, homogeneous, plaque-like thickening of the parietal pleura. Thoracoscopic pleural biopsy was consistent with grade 1 extranodal follicular lymphoma of the pleura. The authors suggest that physicians should be aware of this rare location of primary pleural lymphoma manifested by plaque-like thickening of the pleura but not accompanied by mediastinal lymphadenopathy.
Oikonomou
Anastasia
A
Department of Radiology, University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece. aoikonom@med.duth.gr
Giatromanolaki
Alexandra
A
Margaritis
Dimitrios
D
Froudarakis
Marios
M
Prassopoulos
Panos
P
D001706:Biopsy; D003287:Contrast Media; D003371:Cough / Q000209:etiology; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008223:Lymphoma / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D010994:Pleura / Q000000981:diagnostic imaging* / Q000473:pathology; D010997:Pleural Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D011856:Radiographic Image Enhancement / Q000379:methods; D013906:Thoracoscopy / Q000379:methods
D003287:Contrast Media