Primary Pleural Lymphoma with Dense Pleural Thickening

Authors

  • Takeshi Saraya Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Hidefumi Takei Department of General Surgery, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Masachika Fujiwara Department of Pathology, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Reiko Shimizu Department of General Surgery, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Nozomi Fukuda Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Hiroki Nunokawa Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Kosuke Ohkuma Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Naoki Tsujimoto Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Yayoi Tsukahara Department of Radiology, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Haruyuki Ishii Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Haruhiko Kondo Department of General Surgery, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan
  • Hajime Takizawa Department of Respiratory Medicine, Kyorin University School of Medicine, Mitaka City, Tokyo, Japan

DOI:

https://doi.org/10.17140/PRRMOJ-2-112

Keywords:

Primary pleural lymphoma, Diffuse large B cell lymphoma, Pleural thickening, Thoracic computed tomography

Abstract

A 72-year-old man was referred to our hospital because of persistent right chest pain and an abnormal shadow on chest X-ray. Thoracic computed tomography showed a right upper pleural nodule and massive right pleural thickening with an ipsilateral pleural effusion, which partially extended to the left pleura. The pleural tumor showed an intense standardized uptake value of 28.5 on fluorodeoxyglucose positron emission tomography/computed tomography. After performing a thoracic pleural biopsy, a diagnosis of primary pleural lymphoma, diffuse large B cell type, was made. Primary tumors account for about 5-10% of pleural neoplasms, which of 2.4% accounts for primary pleural lymphoma. Although, primary pleural lymphoma is an extremely rare tumor, it should be considered in the differential diagnosis of pleural thickening in the costophrenic recess with pleural effusion even if the patient has no apparent history of pyothorax associated with Epstein-Barr virus infection.

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Published

2015-05-07

How to Cite

Takeshi Saraya, Hidefumi Takei, Masachika Fujiwara, Reiko Shimizu, Nozomi Fukuda, Hiroki Nunokawa, … Hajime Takizawa. (2015). Primary Pleural Lymphoma with Dense Pleural Thickening. Pulmonary Research and Respiratory Medicine, 2(2), 77–80. https://doi.org/10.17140/PRRMOJ-2-112

Issue

Vol. 2 No. 2 (2015): Volume 2 Issue 2 2015

Section

Articles

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