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http://dx.doi.org/10.3348/kjr.2015.16.1.213

The Pleural Sandwich Sign in Two Cases of Primary Pleural Lymphoma  

Kim, Yookyung (Department of Radiology, School of Medicine, Ewha Womans University)
Lee, Myungjae (Department of Radiology, School of Medicine, Ewha Womans University)
Ryu, Yon Ju (Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, Ewha Womans University)
Cho, Min-Sun (Department of Pathology, School of Medicine, Ewha Womans University)
Publication Information
Korean Journal of Radiology / v.16, no.1, 2015 , pp. 213-216 More about this Journal
Abstract
The sandwich sign is used to describe mesenteric lymphoma in which mesenteric vessels and fat are enveloped by enlarged mesenteric lymph nodes. We present two cases of primary pleural lymphoma demonstrating the "pleural sandwich sign". Contrast-enhanced computed tomography showed conglomerated parietal pleural and extrapleural masses encasing the intercostal arteries. Histopathological examinations confirmed low grade marginal zone B-cell lymphoma in an 80-year-old man and diffuse large B-cell lymphoma in a 68-year-old man. The pleural sandwich sign may suggest the diagnosis of primary pleural lymphoma.
Keywords
Lymphoma; Pleura; Computed tomography; Needle biopsy;
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1 Mueller PR, Ferrucci JT Jr, Harbin WP, Kirkpatrick RH, Simeone JF, Wittenberg J. Appearance of lymphomatous involvement of the mesentery by ultrasonography and body computed tomography: the "sandwich sign". Radiology 1980;134:467-473   DOI
2 Lien WC, Huang SP, Liu KL, Chang JH, Lai TI, Liu YP, et al. The sandwich sign of non-lymphomatous origin. J Clin Ultrasound 2009;37:212-214   DOI
3 Cordier JF, Chailleux E, Lauque D, Reynaud-Gaubert M, Dietemann-Molard A, Dalphin JC, et al. Primary pulmonary lymphomas. A clinical study of 70 cases in nonimmunocompromised patients. Chest 1993;103:201-208   DOI
4 Kim Y, Lee SW, Choi HY, Im SA, Won T, Han WS. A case of pyothorax-associated lymphoma simulating empyema necessitatis. Clin Imaging 2003;27:162-165   DOI
5 Steiropoulos P, Kouliatsis G, Karpathiou G, Popidou M, Froudarakis ME. Rare cases of primary pleural Hodgkin and non-Hodgkin lymphomas. Respiration 2009;77:459-463   DOI
6 Barahona ML, Duenas VP, Sanchez MT, Plaza BV. Case report. Primary mucosa-associated lymphoid tissue lymphoma as a pleural mass. Br J Radiol 2011;84:e229-e231   DOI
7 Parnell AP, Frew I. Case report: non-Hodgkin's lymphoma presenting as an encasing pleural mass. Br J Radiol 1995;68:926-927   DOI
8 Kunimasa K, Jo T, Takaiwa T, Ishida T. Thoracic sandwich sign. Intern Med 2011;50:2865   DOI
9 Aquino SL, Chen MY, Kuo WT, Chiles C. The CT appearance of pleural and extrapleural disease in lymphoma. Clin Radiol 1999;54:647-650   DOI