Primary anaplastic large cell lymphoma of the lung presenting with acute atelectasis

Thoracic Cancer
Sang Hoon HanMi Ok Kim

Abstract

Non-Hodgkin lymphoma only rarely occurs as a primary lung mass. We report a very rare case of primary pulmonary anaplastic large cell lymphoma presenting with acute atelectasis in a 55-year-old man. Chest computed tomography revealed a consolidated central mass in the left lung with obstructive pneumonia that had developed into total atelectasis. After a bronchoscopic examination failed to yield a definite diagnosis, supraclavicular lymph node biopsy was performed, revealing an anaplastic large cell lymphoma. This case illustrates the need for rapidly locating a possible biopsy site, other than the primary lung mass itself, and the value of empirical steroid treatment for avoiding devastating exacerbation when aggressive pulmonary lymphoma is suspected.

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Citations

Oct 29, 2015·Tuberculosis and Respiratory Diseases·Hee Kyung KimHye Cheol Jeong
Apr 18, 2018·Diagnostic Cytopathology·Meyyappa Devan RajagopalManju Rajaram
Jun 2, 2018·Case Reports in Radiology·Elizabeth Von EndeSantiago Martinez-Jiménez

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