Journal List > Tuberc Respir Dis > v.55(6) > 1062303

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Jung, Kwak, Choi, Park, Chang, Lee, Kim, Park, and Kim: A Case of Primary Extranodal NK/T Cell Lung Lymphoma Presenting as Multiple Patchy Pulmonary Infiltrations
Case Report

Tuberculosis and Respiratory Diseases 2003; 55(6): 636-642.

Published online: 31 December 2003

DOI: https://doi.org/10.4046/trd.2003.55.6.636

A Case of Primary Extranodal NK/T Cell Lung Lymphoma Presenting as Multiple Patchy Pulmonary Infiltrations

Gum Mo Jung, M.D., Jin Young Kwak, M.D., Hyun Jong Choi, M.D., Hyo Suk Park, M.D., Myoung Chang, M.D.1, Kwang Min Lee, M.D.2, Nam Don Kim, M.D.3, Yong Jin Park, M.D.3, Kwi Wan Kim, M.D.

Department of Internal Medicine, Presbyterian Medical Center, Chonju, Korea.

1Department of Thoacic Surgery, Presbyterian Medical Center, Chonju, Korea.

2Department of Pathlogy, Presbyterian Medical Center, Chonju, Korea.

3Department of Internal Medicine, Korea Cancer Center Hospital, seoul, Korea.

Address for correspondence: Jin Young Kwak, M.D. Department of Internal Medicine, Presbyterian Medical Center, 300 Joonghwasan-dong, wansan-gu, Chonju, Chonbuk, 560-750, Korea. Phone: 063-230-8908, Fax: 063-230-8917, dnjao@yahoo.co.kr

Copyright©2003. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Primary lung lymphoma is an uncommon tumor, which constitutes 0.5% of primary lung cancer, and 3% of extranodal lymphoma. The most frequent radiologic presentation of pulmonary parenchymal lymphoma is single mass or nodule. But we have experienced a case which was radiologically presented as patchy lung infiltration at first, and then progressive multiple reticulonodular infiltrations in lung.
A 48-year-old woman was admitted to the hospital because of fever and cough. Chest PA obtained on admission revealed multiple patchy infiltration. Eventually, open lung biopsy was performed and the specimen disclosed extranodal NK/T cell lymphoma, and in bone marrow aspiration, hemophagocytosis was present. We report a case of primary extranodal NK/T cell lung lymphoma presented as patchy lung infiltrations, which was treated with chemotherapy.

Keywords: Primary lung lymphoma, Multiple patchy infiltrations, NK/T cell lymphoma, Hemophagocytosis

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