Intravascular Large B-cell Lymphoma Presenting with Lung Adenocarcinoma:A Case Report and Literature Review
10.3779/j.issn.1009-3419.2024.106.01
- VernacularTitle:肺腺癌合并血管内大B细胞淋巴瘤1例并文献复习
- Author:
WANG TONGTONG
1
,
2
;
CHEN XIAOYUE
;
DUAN GUOCHEN
;
ZHANG XIAOPENG
;
ZHAO QINGTAO
;
XU SHUN
;
ZHAO HUANFEN
Author Information
1. 050000 石家庄,河北医科大学研究生学院
2. 河北省人民医院病理科
- Keywords:
Lung neoplasms;
Lung adenocarcinoma;
Intravascular large B-cell lymphoma
- From:
Chinese Journal of Lung Cancer
2024;27(2):152-156
- CountryChina
- Language:Chinese
-
Abstract:
Intravascular large B-cell lymphoma(IVLBCL)is an aggressive extranodal large B-cell lymphoma,cocurrence in the same organ with other malignancies is very rare,especially in the lung.Here,we report a rare case of lung adenocarcinoma with IVLBCL.The patient was admitted to the hospital due to diarrhea associated with fever and cough.A computed tomography(CT)scan of the chest showed an irregular patchy high-density shadow in the upper lobe of the right lung with ground-glass opacity at the margin.After admission,the patient was given anti-infection treatment,but still had inter-mittent low fever(up to 37.5 oC).The pathological diagnosis of percutaneous lung biopsy(PLB)was lepidic-predominant ad-enocarcinoma with local infiltration,which was proved to be invasive nonmucinous adenocarcinoma of the lung with IVLBCL after surgery.This paper analyzed the clinicopathological characteristics and reviewed the relevant literature to improve the knowledge of clinicians and pathologists and avoid missed diagnosis or misdiagnosis.