フルテキストファイル
著者
Miwa Ken Division of General Thoracic Surgery, Tottori University Hospital 研究者総覧 KAKEN
Nakamura Hiroshige Division of General Thoracic Surgery, Tottori University Hospital 研究者総覧 KAKEN
Kubouchi Yasuaki Division of General Thoracic Surgery, Tottori University Hospital
Matsuoka Yuki Division of General Thoracic Surgery, Tottori University Hospital
Yurugi Yohei Division of General Thoracic Surgery, Tottori University Hospital
Takagi Yuzo Division of General Thoracic Surgery, Tottori University Hospital 研究者総覧
Haruki Tomohiro Division of General Thoracic Surgery, Tottori University Hospital 研究者総覧 KAKEN
Fujioka Shinji Division of General Thoracic Surgery, Tottori University Hospital
Taniguchi Yuji Division of General Thoracic Surgery, Tottori University Hospital
キーワード
follicular lymphoma
malignant lymphoma
mediastinal tumor
抄録
We report a 58-year-old man who suffered from shortness of breath on exertion with wheezing. A chest enhanced computed tomography (CT) scan showed an irregular tumor in the middle mediastinum involving the right main pulmonary artery, vena cava superior and right main bronchus. Transbronchial lung biopsy and endobronchial ultrasoundguided transbronchial needle aspiration yielded no evidence for a pathological diagnosis of malignancy. We employed mediastinoscopy, which led to a diagnosis of lymphoid reactive change. 18F-fluorodeoxyglucose-positron emission omography (FDG-PET) scan revealed a high FDG uptake in the tumor lesion. Because the CT scan and FDG-PET findings led to a marked suspicion of malignancy, we decided to attempt biopsy by a video-assisted thoracoscopic surgery (VATS) approach. Flow cytometry showed a monoclonal pattern, and the final diagnosis was mediastinal follicular lymphoma both pathologically and immunohistologically. The patient achieved a complete remission by following chemotherapy. Lowgrade malignancy type of lymphoma such as follicular lymphoma that generally contains small-cell components often presents a diagnostic challenge and the VATS approach was effective for the diagnosis of such type of mediastinal lymphoma.
出版者
Tottori University Faculty of Medicine
資料タイプ
学術雑誌論文
外部リンク
ISSN・ISBN
1346-8049
書誌ID
AA00892882
掲載誌名
Yonago Acta medica
最新掲載誌名
Yonago Acta medica
54
4
開始ページ
83
終了ページ
86
発行日
2011-12
著者版フラグ
出版社版
掲載情報
Yonago Acta medica. 2011, 54(4), 83-86
部局名
医学部・医学系研究科・医学部附属病院
言語
英語