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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
[Pancoast tumor-like primary lung lymphoma]
1Klinika Onkologii i Radioterapii Akademia Medycznej w Gdańsku.
Pneumonologia I Alergologia Polska
|November 2, 2007
Summary
Primary lung lymphoma in the lung apex is rare. This case highlights the incidental diagnosis of advanced B-cell lymphoma in a 72-year-old woman, successfully treated with chemotherapy and radiotherapy.
Area of Science:
- Oncology
- Pulmonology
- Hematology
Background:
- Primary lung lymphomas are rare, often presenting diagnostic challenges.
- Apical localization of these tumors is exceptionally uncommon.
Observation:
- A 72-year-old asymptomatic woman was incidentally diagnosed with an advanced, Pancoast-like left apical lung lymphoma via routine chest X-ray.
- Fine-needle biopsy (FNB) was inconclusive, necessitating an open lung biopsy for diagnosis.
Findings:
- Histopathology confirmed a B-cell low-grade marginal zone extranodal Non-Hodgkin Lymphoma (NHL), identified by CD20+ and CD3- markers.
- The patient received 9 cycles of chemotherapy followed by radiotherapy for the residual mass.
Implications:
- This case underscores the importance of considering rare diagnoses like apical lung lymphoma, even in asymptomatic individuals.
- Multimodal treatment involving chemotherapy and radiotherapy achieved long-term complete remission, suggesting effective therapeutic strategies for this rare presentation.
