Primary pulmonary T-cell lymphoma: a case report.
Primary pulmonary T-cell lymphoma is an extremely rare malady, and we diagnosed this in a 52-year-old male who was admitted to our hospital with cough for the previous two weeks. The chest CT demonstrated multiple variable sized mass-like consolidations with low density central necrosis in the peripheral portion of both the upper and lower lobes. Positron emission tomography (PET) showed multiple areas of hypermetabolic fluorodeoxyglucose (FDG) uptake in both lungs with central metabolic defects, which correlated with central necrosis seen on CT. The histological sample showed peripheral T-cell lymphoma of the not otherwise specified form. The follow-up CT scan showed an increased extent of the multifocal consolidative lesions despite that the patient had undergone chemotherapy.
Shin
Chung Hee
CH
Department of Radiology, Soonchunhyang University Bucheon Hospital, Gyeonggi-do 420-767, Korea.
Paik
Sang Hyun
SH
Park
Jai Soung
JS
Kim
Hee Kyung
HK
Park
Sung Il
SI
Cha
Jang Gyu
JG
Koh
Eun Suk
ES
D003287:Contrast Media; D003371:Cough / Q000209:etiology; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005334:Fever / Q000209:etiology; D019788:Fluorodeoxyglucose F18; D005500:Follow-Up Studies; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D016399:Lymphoma, T-Cell / Q000150:complications / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000150:complications; D049268:Positron-Emission Tomography / Q000379:methods; D011856:Radiographic Image Enhancement / Q000379:methods; D013546:Sweating; D014057:Tomography, X-Ray Computed / Q000379:methods
D003287:Contrast Media; D019788:Fluorodeoxyglucose F18