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심한 산소화부전으로 발현된 말초 T 세포 림프종 1예-증례 보고-

A Case of Peripheral T Cell Lymphoma Presenting as Severe Hypoxic Respiratory Failuret-A Case Report-

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초록

We describe here the first known case in Korea of pulmonary involvement with peripheral T cell lymphoma and the patient presented with severe hypoxic respiratory failure. A 57-yr-old man was admitted to our hospital with rapid progression of dyspnea and bilateral diffuse infiltration on a chest radiograph. He received mechanical ventilation and low dose corticosteroid treatment under the suspicion of critical illness-related corticosteroid insufficiency. Transbronchial lung biopsy revealed large atypical lymphoid cells with positivity for CD3+. We diagnosed this patient as having a peripheral T cell lymphoma and we treated him with high dose corticosteroid. His clinical and radiologic findings rapidly improved and then he received a full dose of chemotherapy for the peripheral T cell lymphoma.

Abstract

We describe here the first known case in Korea of pulmonary involvement with peripheral T cell lymphoma and the patient presented with severe hypoxic respiratory failure. A 57-yr-old man was admitted to our hospital with rapid progression of dyspnea and bilateral diffuse infiltration on a chest radiograph. He received mechanical ventilation and low dose corticosteroid treatment under the suspicion of critical illness-related corticosteroid insufficiency. Transbronchial lung biopsy revealed large atypical lymphoid cells with positivity for CD3+. We diagnosed this patient as having a peripheral T cell lymphoma and we treated him with high dose corticosteroid. His clinical and radiologic findings rapidly improved and then he received a full dose of chemotherapy for the peripheral T cell lymphoma.

참고문헌 (20)

  1. Berkman N, "Pulmonary involvement in lymphoma", Leuk Lymphoma, 20, pp.229~237 (1996)
  2. Sahebjami H, "Rapidly progressive lymphoma of the lung appearing as the adult respiratory distress syndrome", Chest, 68, pp.741~742 (1975)
  3. Cathcart-Rake W, "Rapid development of diffuse pulmonary infiltrates in histiocytic lymphoma", Am Rev Respir Dis, 117, pp.587~593 (1978)
  4. Ravid M, "Acute respiratory distress syndrome. A presenting symptom of malignant lymphoma", JAMA, 241, pp.2191~2192 (1979)
  5. Chechani V, "Pulmonary non- Hodgkin's lymphoma mimicking infection", Respir Med, 84, pp.401~405 (1990)
  6. Boon ES, "Primary extranodal non-Hodgkin's lymphoma of the lung presenting with bilateral, patchy infiltrates dramatically improving after corticosteroid therapy", Chest, 104, pp.1292~1293 (1993)
  7. Close PM, "Anaplastic large-cell Ki-1 lymphoma. Pulmonary presentation mimicking miliary tuberculosis", Am J Clin Pathol, 99, pp.631~636 (1993)
  8. Kang EM, "39-year-old man with fever, cough, and dyspnea", Mayo Clin Proc, 70, pp.587~590 (1995)
  9. Kishimoto M, "Diffuse large B-cell lymphoma manifesting as acute respiratory distress syndrome", Am J Med Sci, 328, pp.354~356 (2004)
  10. 정금모, "다발성 반점형 폐침윤으로 발현한 원발성 NK", T 세포 폐림프종, 2003, pp.55(6), 636~642[DOI]
  11. Kim BK, "Primary T-cell lymphoma of the lung presenting with bilateral hilar lymphadenopathies and diffuse pulmonary infiltration", Tuberc Respir Dis, 44, pp.203~208 (1997)
  12. 이승현, "양측 미만성 폐침윤과 전신 홍반을 동반한 말초 T세포 림프종", Tuberculosis and Respiratory Diseases, 59(5), pp.566~570 (2005), 대한결핵및호흡기학회
  13. Shim TS, "Pulmonary involvement of T-cell type lymphoma with rapid, bilateral infiltration and high fever simulating pueumonia", Tuberc Respir Dis, 44, pp.1440~1446 (1997)
  14. Marik PE, "Recommendations for the diagnosis and management of corticosteroid insufficiency in critically ill adult patients: consensus statements from an international task force by the American College of Critical Care Medicine", Crit Care Med, 36, pp.1937~1949 (2008)
  15. Costa MB, "Histologic patterns of lung infiltration of B-cell, T-cell, and Hodgkin lymphomas", Am J Clin Pathol, 121, pp.718~726 (2004)
  16. Bae YA, "Cross-sectional evaluation of thoracic lymphoma", Radiol Clin North Am, 46, pp.253~264 (2008)
  17. Warner DO, "Open lung biopsy in patients with diffuse pulmonary infiltrates and acute respiratory failure", Am Rev Respir Dis, 137, pp.90~94 (1988)
  18. Polish LB, "Pulmonary non-Hodgkin's lymphoma in AIDS", Chest, 96, pp.1321~1326 (1989)
  19. Phadke SM, "Relapsed non- Hodgkin's lymphoma diagnosed by flexible bronchoscopy", Pediatr Pulmonol, 34, pp.488~490 (2002)
  20. Takamura K, "Intravascular lymphomatosis diagnosed by transbronchial lung biopsy", Eur Respir J, 10, pp.955~957 (1997)

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