Open Access

Primary pulmonary lymphoma mimicking a refractory lung abscess: A case report

  • Authors:
    • Takeshi Matsumoto
    • Kojiro Otsuka
    • Yuki Funayama
    • Yukihiro Imai
    • Keisuke Tomii
  • View Affiliations

  • Published online on: February 3, 2015     https://doi.org/10.3892/ol.2015.2929
  • Pages: 1575-1578
  • Copyright: © Matsumoto et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The current study presents a case of primary pulmonary lymphoma (PPL) mimicking refractory lung abscess that was diagnosed at autopsy. An 80‑year‑old male with clinically inapparent aspiration presented with a large cavitated mass and pleural effusion. A lung abscess and empyema was diagnosed, therefore, antibiotics were administered and the pleural effusion was drained. Various examinations, including a biopsy, yielded no specific diagnosis. The lesion was considered inoperable due to the poor general condition of the patient. Subsequently, the mass that had been diagnosed as a refractory lung abscess became enlarged and a repeat biopsy resulted in a diagnosis of diffuse large B‑cell lymphoma. The patient succumbed to sudden respiratory failure, and the final diagnosis of PPL was confirmed at autopsy. PPL is a rare disease that accounts for 0.45% of all pulmonary malignant tumors and is difficult to diagnose in inoperable cases. Therefore, patients with PPL who do not undergo surgery can be misdiagnosed and consequently treated inappropriately. PPL should therefore be considered in the differential diagnosis of a refractory lung abscess.
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April-2015
Volume 9 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Matsumoto T, Otsuka K, Funayama Y, Imai Y and Tomii K: Primary pulmonary lymphoma mimicking a refractory lung abscess: A case report. Oncol Lett 9: 1575-1578, 2015.
APA
Matsumoto, T., Otsuka, K., Funayama, Y., Imai, Y., & Tomii, K. (2015). Primary pulmonary lymphoma mimicking a refractory lung abscess: A case report. Oncology Letters, 9, 1575-1578. https://doi.org/10.3892/ol.2015.2929
MLA
Matsumoto, T., Otsuka, K., Funayama, Y., Imai, Y., Tomii, K."Primary pulmonary lymphoma mimicking a refractory lung abscess: A case report". Oncology Letters 9.4 (2015): 1575-1578.
Chicago
Matsumoto, T., Otsuka, K., Funayama, Y., Imai, Y., Tomii, K."Primary pulmonary lymphoma mimicking a refractory lung abscess: A case report". Oncology Letters 9, no. 4 (2015): 1575-1578. https://doi.org/10.3892/ol.2015.2929