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M. Kang



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    P3.24 - Poster Session 3 - Supportive Care (ID 160)

    • Event: WCLC 2013
    • Type: Poster Session
    • Track: Supportive Care
    • Presentations: 1
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      P3.24-034 - Primary pulmonary lymphoma mimiking lung abscess (ID 2354)

      09:30 - 09:30  |  Author(s): M. Kang

      • Abstract

      Background
      Primary pulmonary lymphoma (PPL) is a rare disease. Half of the patients are asymptomatic and other patients can present nonspecific symptoms such as cough, mild dyspnea, chest pain, or hemoptysis. The diagnosis of disease is based on histological examination and we can obtain a tissue by surgical biopsy, transbronchial or transthoracic biopsy. We report a case that PPL mimicking lung abscess was confirmed by surgical biopsy.

      Methods
      68-year-old female presenting with continuous mild fever and cough for 2 weeks, and suspected as pneumonia or lung abscess at the initial evaluation. There was no clinical improvement after antibiotic therapy for 5 weeks. Chest computed tomography showed as organizing pneumonia with abscess formation right middle lobe RML). So, we performed right middle lobe lobectomy. In operative findings, there was large amount milkfish drainage with hard mass in RML. There was no culture positive in milkfish drainage. Post op 7th day, she discharge without any complication.

      Results
      Pathologic findings reveals the mass was malignant primary pulmonary lymphoma in (diffuse large cell type B-cell lymphoma).

      Conclusion
      PPL is a vary rare entity and the diagnosis based on radiological findings is limited so, we reports it.