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NK-T cell lymphoma manifesting as acute respiratory distress syndrome  

Jeong, Eun-Seon (Department of Internal Medicine, Inha University School of Medicine)
Joo, Ko-Woon (Department of Internal Medicine, Inha University School of Medicine)
Kim, Jung-Soo (Department of Internal Medicine, Inha University School of Medicine)
Min, Kyung-Sun (Department of Internal Medicine, Inha University School of Medicine)
Choi, Seok-Jin (Department of Pathology, Inha University School of Medicine)
Nam, Hae-Sung (Department of Internal Medicine, Inha University School of Medicine)
Cho, Jae-Hwa (Department of Internal Medicine, Inha University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.79, no.6, 2010 , pp. 697-700 More about this Journal
Abstract
Primary pulmonary lymphoma is a rare disease, and non-B cell lymphomas (T-cell and natural killer cell lymphomas) involving the lung parenchyma are uncommonly reported. The most common radiological feature of pulmonary parenchymal lymphoma is a single mass or nodule. A 49-year-old woman with dyspnea was referred with suspicion of severe pneumonia. A chest radiograph showed diffuse nodular infiltration in both lungs. Acute respiratory failure was severe and rapidly progressive, so she was managed with a mechanical ventilator under the impression of acute respiratory distress syndrome (ARDS). A bronchoalveolar lavage and lung biopsy by video-assisted thoracic surgery revealed NK-T cell lymphoma. We report a case of extranodal NK-T cell lymphoma presenting as ARDS.
Keywords
Bronchoalveolar lavage; Extranodal NK-T cell lymphoma; Acute respiratory distress syndrome (ARDS);
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