Multifocal Extranodal Involvement of Diffuse Large B-Cell Lymphoma

Endobronchial involvement of extrapulmonary malignant tumors is uncommon and mostly associated with breast, kidney, colon, and rectum carcinomas. A 68-year-old male with a prior diagnosis of colon non-Hodgkin lymphoma (NHL) was admitted to the hospital with a complaint of cough, sputum, and dyspnea....

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Main Authors: Devrim Cabuk, Y. Taha Gullu, Ilknur Basyigit, Ozgur Acikgoz, Kazım Uygun, Kursat Yildiz, Fusun Yildiz
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pulmonology
Online Access:http://dx.doi.org/10.1155/2013/794642
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author Devrim Cabuk
Y. Taha Gullu
Ilknur Basyigit
Ozgur Acikgoz
Kazım Uygun
Kursat Yildiz
Fusun Yildiz
author_facet Devrim Cabuk
Y. Taha Gullu
Ilknur Basyigit
Ozgur Acikgoz
Kazım Uygun
Kursat Yildiz
Fusun Yildiz
author_sort Devrim Cabuk
collection DOAJ
description Endobronchial involvement of extrapulmonary malignant tumors is uncommon and mostly associated with breast, kidney, colon, and rectum carcinomas. A 68-year-old male with a prior diagnosis of colon non-Hodgkin lymphoma (NHL) was admitted to the hospital with a complaint of cough, sputum, and dyspnea. The chest radiograph showed right hilar enlargement and opacity at the right middle zone suggestive of a mass lesion. Computed tomography of thorax revealed a right-sided mass lesion extending to thoracic wall with the destruction of the third and the fourth ribs and a right hilar mass lesion. Fiberoptic bronchoscopy was performed in order to evaluate endobronchial involvement and showed stenosis with mucosal tumor infiltration in right upper lobe bronchus. The pathological examination of bronchoscopic biopsy specimen reported diffuse large B-cell lymphoma and the patient was accepted as the endobronchial recurrence of sigmoid colon NHL. The patient is still under treatment of R-ICE (rituximab-ifosfamide-carboplatin-etoposide) chemotherapy and partial regression of pulmonary lesions was noted after 3 courses of treatment.
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institution Kabale University
issn 2090-6846
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Pulmonology
spelling doaj-art-0933b295c6f34799931580bdeb9f75d72025-02-03T01:04:56ZengWileyCase Reports in Pulmonology2090-68462090-68542013-01-01201310.1155/2013/794642794642Multifocal Extranodal Involvement of Diffuse Large B-Cell LymphomaDevrim Cabuk0Y. Taha Gullu1Ilknur Basyigit2Ozgur Acikgoz3Kazım Uygun4Kursat Yildiz5Fusun Yildiz6Department of Medical Oncology, Kocaeli University Hospital, Umuttepe, 41380 Kocaeli, TurkeyDepartment of Pulmonary Disease, Kocaeli University Hospital, Umuttepe, 41380 Kocaeli, TurkeyDepartment of Pulmonary Disease, Kocaeli University Hospital, Umuttepe, 41380 Kocaeli, TurkeyDepartment of Medical Oncology, Kocaeli University Hospital, Umuttepe, 41380 Kocaeli, TurkeyDepartment of Medical Oncology, Kocaeli University Hospital, Umuttepe, 41380 Kocaeli, TurkeyDepartment of Pathology, Kocaeli University Hospital, Umuttepe, 41380 Kocaeli, TurkeyDepartment of Pulmonary Disease, Kocaeli University Hospital, Umuttepe, 41380 Kocaeli, TurkeyEndobronchial involvement of extrapulmonary malignant tumors is uncommon and mostly associated with breast, kidney, colon, and rectum carcinomas. A 68-year-old male with a prior diagnosis of colon non-Hodgkin lymphoma (NHL) was admitted to the hospital with a complaint of cough, sputum, and dyspnea. The chest radiograph showed right hilar enlargement and opacity at the right middle zone suggestive of a mass lesion. Computed tomography of thorax revealed a right-sided mass lesion extending to thoracic wall with the destruction of the third and the fourth ribs and a right hilar mass lesion. Fiberoptic bronchoscopy was performed in order to evaluate endobronchial involvement and showed stenosis with mucosal tumor infiltration in right upper lobe bronchus. The pathological examination of bronchoscopic biopsy specimen reported diffuse large B-cell lymphoma and the patient was accepted as the endobronchial recurrence of sigmoid colon NHL. The patient is still under treatment of R-ICE (rituximab-ifosfamide-carboplatin-etoposide) chemotherapy and partial regression of pulmonary lesions was noted after 3 courses of treatment.http://dx.doi.org/10.1155/2013/794642
spellingShingle Devrim Cabuk
Y. Taha Gullu
Ilknur Basyigit
Ozgur Acikgoz
Kazım Uygun
Kursat Yildiz
Fusun Yildiz
Multifocal Extranodal Involvement of Diffuse Large B-Cell Lymphoma
Case Reports in Pulmonology
title Multifocal Extranodal Involvement of Diffuse Large B-Cell Lymphoma
title_full Multifocal Extranodal Involvement of Diffuse Large B-Cell Lymphoma
title_fullStr Multifocal Extranodal Involvement of Diffuse Large B-Cell Lymphoma
title_full_unstemmed Multifocal Extranodal Involvement of Diffuse Large B-Cell Lymphoma
title_short Multifocal Extranodal Involvement of Diffuse Large B-Cell Lymphoma
title_sort multifocal extranodal involvement of diffuse large b cell lymphoma
url http://dx.doi.org/10.1155/2013/794642
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AT ytahagullu multifocalextranodalinvolvementofdiffuselargebcelllymphoma
AT ilknurbasyigit multifocalextranodalinvolvementofdiffuselargebcelllymphoma
AT ozguracikgoz multifocalextranodalinvolvementofdiffuselargebcelllymphoma
AT kazımuygun multifocalextranodalinvolvementofdiffuselargebcelllymphoma
AT kursatyildiz multifocalextranodalinvolvementofdiffuselargebcelllymphoma
AT fusunyildiz multifocalextranodalinvolvementofdiffuselargebcelllymphoma