부산대학교 도서관

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/S1579-2129(06)60201-2 Byline: C. Martinez Rivera, M. Bonnin Vilaplana, C. Simon Adiego, A. Palacin Forgue, J. Puig Zuza, I. Sampablo Lauro Keywords: Cavitated mass; Primary pulmonary lymphoma; High-grade; B-cells Abstract: Primary pulmonary lymphoma is a rare entity usually formed of B-type cells, usually low-grade and composed of mucosal- or bronchial-associated lymphoid tissue. High-grade primary pulmonary lymphomas usually occur in immunodeficient patients who mostly present with respiratory and nonspecific symptoms. A chest x-ray may show a pulmonary mass or atelectasis and pleural effusion. In such cases, the prognosis is worse than for low-grade pulmonary lymphomas; survival is 8 to 10 years and there is a higher probability of local progression or metastasis. We report the case of an immunocompetent 76-year-old patient who had a pulmonary mass with cavitation secondary to a large B-cell primary pulmonary lymphoma. After the fourth session of chemotherapy the pulmonary mass was reduced in size and an aspergilloma was seen to have developed in the residual cavity. A review of the literature revealed this case to be anecdotal as it is extremely infrequent for a primary pulmonary lymphoma to present in the form of a single mass with cavitation and with few symptoms. Author Affiliation: Hospital Sagrat Cor, Barcelona, Spain Article History: Received 31 March 2003; Accepted 6 May 2003