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Vol.39 No.1 contents | Japanese/English |
- Case Report -
A Case of Pulmonary Lymphomatoid Granulomatosis
Shuhei Inoue, Shozo Fujino, Noriaki Tezuka, Keiichi Kontani, Masashi Takahashi* and Kiyoshi Murata*The Second Department of Surgery, and *Department of Radiology, Shiga University of Medical Science
A 70-year-old woman was admitted with a dry cough and an abnormal shadow in the left lung field on chest X-ray film. Chest computed tomography demonstrated an infiltrative shadow with an airbronchogram. Transbronchial lung biopsy obtained no abnormal findings. However, the abnormal shadow was suspected to be lung cancer, and an operation was performed. The intraoperative pathological diagnosis was malignant lymphoma and left pneumonectomy was performed because the tumor directly invaded the left main pulmonary artery and bronchus. The postoperative pathological diagnosis was lymphomatoid granulomatosis. Immunohistochemical study identified the infiltrative lymphocytes as T cells (CD 8+). Adjuvant therapy was not performed after the operation. The patient is alive at 13 months without recurrence.
key words: Lymphomatoid granulomatosis; LYG, Malignant lymphoma, T cell, Lung tumore, Pneumonectomy
Received: August 24, 1998
Accepted: November 5, 1998
JJLC 39 (1): 51-56, 1999
