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Tuberc Respir Dis > Volume 63(2); 2007 > Article
Tuberculosis and Respiratory Diseases 2007;63(2):194-199.
DOI: https://doi.org/10.4046/trd.2007.63.2.194    Published online August 1, 2007.
A Case of Low-grade B-cell Lymphoma of Bronchial Associated Lymphoid Tissue Mimicking Lipoid Pneumonia.
Jin Hee Cho, , Min Jae Yang, , Su Kyong Yu, , Kyoung Woo Soe, , Hugh Chul Kim,
1Departments of Pulmonary and Critical Care Medicine, Ajou University School of Medine, Suwon, Korea. sssheen@ajou.ac.kr
2Departments of Hemato-oncology, Ajou University School of Medine, Suwon, Korea.
Abstract
BALT(bronchial associated lymphoid tissue) lymphomas are a distinct subgroup of low-grade B-cell extranodal non-Hodgkin's lymphoma, which are classified as a marginal-zone lymphomas. The majority of the patients are asymptomatic or their pulmonary lesions is often discovered incidentally on a routine chest radiograph. A 50-year-old man was admitted for an the evaluation of cough, dyspnea and fever. His chest CT showed ground glass appearance with interlobular septal thickening in both lower lobes, right middle lobe and left lingular division. He had been initially diagnosed with lipoid pneumonia and was kept under observation. However, his chest lesion showed continuous progression and a video-associated thoracoscopy was performed His pulmonary lesion was confirmed histologically to be a BALT(bronchial associated lymphoid tissue) lymphoma. We report a case of a BALT lymphoma, which was initially misdiagnosed as lipoid pneumonia.
Key Words: BALT lymphoma, Marginal zone lymphoma, Non-Hodgikin's lymphoma, Lipoid pneumonia


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