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Multiple cystic lung lesions and autoimmune thrombocytopaenia developing after chemotherapy for pulmonary indolent B-cell lymphoma with plasmacytic differentiation.
Tanaka, Hiroaki; Kuwabara, Chihiro; Isshiki, Yusuke; Suzuki, Yoshio.
Afiliación
  • Tanaka H; Department of Hematology, Asahi General Hospital, Asahi, Chiba, Japan.
  • Kuwabara C; Department of Hematology, Asahi General Hospital, Asahi, Chiba, Japan.
  • Isshiki Y; Department of Hematology, Chiba University Hospital, Chiba, Chiba, Japan.
  • Suzuki Y; Department of Pathology, Asahi General Hospital, Asahi, Chiba, Japan.
BMJ Case Rep ; 11(1)2018 Dec 13.
Article en En | MEDLINE | ID: mdl-30567252
Among lung malignancies, primary pulmonary lymphoma is rare and many of them are indolent B-cell lymphomas. We describe a case of primary pulmonary indolent B-cell lymphoma with plasmacytic differentiation, which exacerbated with the manifestation of macroglobulinaemia and was successfully treated using chemotherapy. The patient subsequently developed pulmonary cysts and thrombocytopaenia due to autoimmune pathology and was successfully treated using prednisolone. This case suggests that in indolent B-cell lymphoma with plasmacytic differentiation, immunoglobulin M level should be carefully followed even if it is within the normal range at lymphoma onset. Additionally, new cystic pulmonary infiltrates that develop during the post-treatment follow-up of an indolent pulmonary B-cell lymphoma may indicate pulmonary lymphoma recurrence, but there is also a possibility of an immunological complication.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfoma de Células B / Púrpura Trombocitopénica Idiopática / Quistes / Enfermedades Pulmonares / Neoplasias Pulmonares / Antineoplásicos Tipo de estudio: Etiology_studies Límite: Aged / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Linfoma de Células B / Púrpura Trombocitopénica Idiopática / Quistes / Enfermedades Pulmonares / Neoplasias Pulmonares / Antineoplásicos Tipo de estudio: Etiology_studies Límite: Aged / Humans / Male Idioma: En Revista: BMJ Case Rep Año: 2018 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido