原発性肺癌と鑑別が困難であった肺原発MALTリンパ腫の1例

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  • A CASE OF MALT LYMPHOMA DIFFICULT TO DIFFERENTIATE FROM PRIMARY LUNG CANCER

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A 54-year-old woman was admitted to our hospital for further examination of an abnormal chest X-ray shadow. Chest CT showed a tumor with ground-glass opacity and pleural indentation in segment3 (S3) of the right lung. Lung cancer was suspected according to the FDG-PET/CT and the radiological findings, but a definitive diagnosis was not obtainted by bronchoscopic examination. Under a provisional diagnosis of lung cancer, the patient underwent resection of right upper lobe by video-assisted thoracic surgery (VATS). Intraoperative histopathological examination revealed MALT lymphoma. The patient recovered uneventfully, and there has been no sign of recurrence for 1 year since the surgery. MALT lymphoma should be considered if lung cancer is suspected on the basis of imaging study alone.

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