Pulmonary Mucosa-associated Lymphoid Tissue (MALT) Lymphoma in Sjogren's Syndrome Showing Only the LIP Pattern Radiologically

被引：12

作者：

Watanabe, Yasutaka ^{[1
]}

Koyama, Shinichiro ^{[1
]}

Miwa, Chihiro ^{[1
]}

Okuda, Shinya ^{[2
]}

Kanai, Yoshihiko ^{[3
]}

Tetsuka, Kenji ^{[3
]}

Nokubi, Mitsuhiro ^{[4
]}

Dobashi, Yoh ^{[4
]}

Kawabata, Yoshinori ^{[5
]}

Kanda, Yoshinobu ^{[2
]}

Endo, Shunsuke ^{[3
]}

机构：

[1] Jichi Med Univ, Div Pulm Med, Saitama Med Ctr, Saitama, Japan

[2] Jichi Med Univ, Div Hematol, Saitama Med Ctr, Saitama, Japan

[3] Jichi Med Univ, Div Thorac Surg, Saitama Med Ctr, Saitama, Japan

[4] Jichi Med Univ, Div Pathol, Saitama Med Ctr, Saitama, Japan

[5] Saitama Cardiovasc & Resp Ctr, Div Pathol, Saitama, Japan

来源：

INTERNAL MEDICINE | 2012年 / 51卷 / 05期

关键词：

Sjogren's syndrome; mucosa-associated lymphoid tissue lymphoma; interstitial pneumonia; lung biopsy; INTERSTITIAL LUNG-DISEASE; CT FINDINGS; ABNORMALITIES; INVOLVEMENT;

D O I：

10.2169/internalmedicine.51.6242

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 49-year-old woman with a 20-year history of Sjogren's syndrome (SS) was incidentally found to have an abnormal chest X-ray along with dyspnea and desaturation. Chest CT findings showed multiple cystic shadows, ground glass opacity, and small nodule-like lymphocytic interstitial pneumonia (LIP), which have been previously reported. She was diagnosed by surgical lung biopsy to have mucosa-associated lymphoid tissue (MALT) lymphoma. It was difficult to detect the presence of lymphoma by the use of only CT findings. Pulmonary involvement of SS occurs in various forms so that SS patients with pulmonary involvement should undergo open biopsy to reach a definitive diagnosis.

引用

页码：491 / 495

页数：5

共 21 条

[1] Inflammation and structural changes in the airways of patients with primary Sjogren's syndrome [J].

Amin, K ;

Lúdvíksdóttir, D ;

Janson, C ;

Nettelbladt, O ;

Gudbjörnsson, B ;

Valtysdóttir, S ;

Björnsson, E ;

Roomans, GM ;

Boman, G ;

Sevéus, L ;

Venge, P .

RESPIRATORY MEDICINE, 2001, 95 (11) :904-910

[2] Interstitial lung disease in primary Sjogren's syndrome - Clinical-pathological evaluation and response to treatment [J].

Deheinzelin, D ;

Capelozzi, VL ;

Kairalla, RA ;

Barbas, JV ;

Saldiva, PHN ;

deCarvalho, CRR .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1996, 154 (03) :794-799

[3]

European Respiratory Society, 2002, Am J Respir Crit Care Med, V165, P277, DOI [10.1164/ajrccm.165.2.ats01, DOI 10.1164/AJRCCM.165.2.ATS01]

[4] Air trapping in primary Sjogren syndrome:: Correlation of expiratory CT with pulmonary function tests [J].

Franquet, T ;

Díaz, C ;

Domingo, P ;

Giménez, A ;

Geli, C .

JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, 1999, 23 (02) :169-173

[5] Primary Sjogren's syndrome and associated lung disease: CT findings in 50 patients [J].

Franquet, T ;

Gimenez, A ;

Monill, JM ;

Diaz, C ;

Geli, C .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1997, 169 (03) :655-658

[6] Pulmonary manifestations of primary Sjogren's syndrome [J].

Ito, I ;

Nagai, S ;

Kitaichi, M ;

Nicholson, AG ;

Johkoh, T ;

Noma, S ;

Kim, DS ;

Handa, T ;

Izumi, T ;

Mishima, M .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 171 (06) :632-638

[7] Lymphocytic interstitial pneumonia:: Thin-section CT findings in 22 patients [J].

Johkoh, T ;

Müller, NL ;

Pickford, HA ;

Hartman, TE ;

Ichikado, K ;

Akira, M ;

Honda, O ;

Nakamura, H .

RADIOLOGY, 1999, 212 (02) :567-572

[8] Pulmonary mucosa-associated lymphoid tissue lymphoma: CT and pathologic findings [J].

Knisely, BL ;

Mastey, LA ;

Mergo, PJ ;

Voytovich, MC ;

Zander, D ;

Almasri, NM ;

Collins, J ;

Kuhlman, JE .

AMERICAN JOURNAL OF ROENTGENOLOGY, 1999, 172 (05) :1321-1326

[9] Pulmonary involvement in primary Sjogren's syndrome - Spectrum of pulmonary abnormalities and computed tomography findings in 60 patients [J].

Koyama, M ;

Johkoh, T ;

Honda, O ;

Mihara, N ;

Kozuka, T ;

Tomiyama, N ;

Hamada, S ;

Nakamura, H .

JOURNAL OF THORACIC IMAGING, 2001, 16 (04) :290-296

[10] Idiopathic interstitial pneumonias:: CT features [J].

Lynch, DA ;

Travis, WD ;

Müller, NL ;

Galvin, JR ;

Hansell, DM ;

Grenier, PA ;

King, TE .

RADIOLOGY, 2005, 236 (01) :10-21

← 1 2 3 →