title: Peripheral neurolymphomatosis with tracheal asphyxia: a case report and literature review.
abstract: BACKGROUND
  Neurolymphomatosis (NL) is an extremely rare disease and tracheal asphyxia due to NL has not been previously reported.
  
  
  METHODS
  A 54-year-old Chinese woman with a history of diffuse large B-cell lymphoma in her first complete remission developed peripheral neuropathy and tracheal asphyxia. Neurolymphomatosis involving the right brachial plexus and the right vagus nerve was demonstrated by PET/CT, but not by MRI. She underwent urgent tracheotomy and impact chemotherapy using rituximab combined with high dose methotrexate and involved field radiotherapy. She achieved a second complete remission.
  
  
  CONCLUSIONS
  PET/CT plays valuable role in differentiating NL from other neuropathies in patients with lymphoma. Complete remission can be achieved in NL due to large B-cell lymphoma.
authors: Department of Hematology and Research Laboratory of Hematology, West China Hospital, Sichuan University, Chengdu, 610041, China. zfeng_liu@sina.com.
authors: Zuofeng
authors: Z
authors: Liu
authors: Department of Hematology and Research Laboratory of Hematology, West China Hospital, Sichuan University, Chengdu, 610041, China. suyeku@126.com.|Department of Hematology, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, 610072, China. suyeku@126.com.
authors: Tao
authors: T
authors: Jiang
authors: Department of Nuclear Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China. hou_n@sina.com.
authors: Ni
authors: N
authors: Hou
authors: Department of Hematology and Research Laboratory of Hematology, West China Hospital, Sichuan University, Chengdu, 610041, China. jia_yq@scu.edu.cn.
authors: Yongqian
authors: Y
authors: Jia
mesh_terms: D000970:Antineoplastic Agents / Q000627:therapeutic use; D001237:Asphyxia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001917:Brachial Plexus / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008727:Methotrexate / Q000627:therapeutic use; D008875:Middle Aged; D064847:Multimodal Imaging; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D010524:Peripheral Nervous System Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000556:secondary / Q000628:therapy; D049268:Positron-Emission Tomography; D011878:Radiotherapy; D000069283:Rituximab / Q000627:therapeutic use; D014057:Tomography, X-Ray Computed; D014133:Tracheal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014140:Tracheotomy; D014630:Vagus Nerve / Q000000981:diagnostic imaging
chemical_list: D000970:Antineoplastic Agents; D000069283:Rituximab; D008727:Methotrexate