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Intravascular large B-cell lymphoma presenting with diffusely increased pulmonary fluorodeoxyglucose uptake without
Jayden Spencer1, Reginald Dusing1, Wendell Yap1
1Department of Radiology, Kansas University Hospital, 3901 Rainbow Blvd, MS 4032, Kansas City, KS, USA.
A rare form of lymphoma, intravascular large B-cell lymphoma (IV-LBCL), can cause lung issues. This case highlights its presentation with respiratory failure and weight loss, confirmed by biopsy.
Area of Science:
- Oncology
- Pulmonology
- Pathology
Background:
- Intravascular large B-cell lymphoma (IV-LBCL) is an uncommon extranodal non-Hodgkin lymphoma.
- Pulmonary involvement by IV-LBCL can present insidiously, mimicking other inflammatory or infectious lung diseases.
Observation:
- A 60-year-old male presented with dyspnea, fever, and significant weight loss.
- Initial investigations revealed elevated inflammatory markers, anemia, and thrombocytopenia.
- FDG-PET scans showed increased lung uptake, but CT scans were unremarkable.
Findings:
- Excisional lung biopsy definitively diagnosed intravascular large B-cell lymphoma (IV-LBCL).
- The case underscores the diagnostic challenges of IV-LBCL presenting with pulmonary symptoms.
Implications:
- Early recognition of IV-LBCL is crucial for timely treatment and improved patient outcomes.
- This case emphasizes the importance of considering rare hematologic malignancies in the differential diagnosis of unexplained pulmonary symptoms and systemic illness.
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