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01-12-2019 | Mucosa Associated Lymphoid Tissue | Chest Radiology

Primary pulmonary lymphoma: imaging findings in 30 cases

Authors: Diletta Cozzi, Catia Dini, Francesco Mungai, Benedetta Puccini, Luigi Rigacci, Vittorio Miele

Published in: La radiologia medica | Issue 12/2019

Abstract

Purpose

To present our experience of cases of primary pulmonary lymphoma (PPL) found between January 2002 and July 2018, focusing on the radiological features and the differential diagnosis in order to contribute to the difficult role of the radiologist in the disease identification and to help the clinicians to reach the diagnosis.

Materials and methods

CT scans of 30 patients (14 men and 16 women, aged 58–86, mean age 72 years) with PPL were retrospectively reviewed. All patients had a histopathological confirmation of the disease: MALT lymphoma (23 patients, 76.6%); diffuse large B-cell lymphoma—DLBCL (seven patients, 23.4%). All the staging CT scans were evaluated by three experienced radiologists dedicated to thoracic disease in order to radiologically define the predominant pattern of presentation.

Results

The following parenchymal patterns were observed: 11 patients with single/multiple nodules, five with masses/mass-like consolidations, 14 with consolidations with air bronchogram, 16 with ground-glass opacity, ten with angiogram sign, 22 with perilymphatic and/or peribronchovascular spread, 15 with associated lymphadenopathies, and 13 with pleural/chest wall involvement. The main characteristics of PPLs were the presence of consolidations and ground-glass opacities, with perilymphatic and/or bronchovascular spread.

Conclusion

All the characteristics of the work should alert the radiologist to consider lymphoma among the possible differential diagnoses, always correlating the results of the CT examination with appropriate clinical laboratory evaluations.

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Title: Primary pulmonary lymphoma: imaging findings in 30 cases
Authors: Diletta Cozzi
Catia Dini
Francesco Mungai
Benedetta Puccini
Luigi Rigacci
Vittorio Miele
Publication date: 01-12-2019
Publisher: Springer Milan
Keywords: Mucosa Associated Lymphoid Tissue
Lymphoma
Computed Tomography
Computed Tomography
Lymphadenopathy
Published in: La radiologia medica / Issue 12/2019
Print ISSN: 0033-8362
Electronic ISSN: 1826-6983
DOI: https://doi.org/10.1007/s11547-019-01091-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Primary pulmonary lymphoma: imaging findings in 30 cases

Abstract

Purpose

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Materials and methods

Results

Conclusion

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