급성호흡곤란증후군으로 나타난 NK-T 세포 림프종 (NK-T cell lymphoma manifesting as acute respiratory distress syndrome)

서지정보

· 발행기관 : 대한내과학회
· 수록지 정보 : 대한내과학회지 / 79권 / 6호 / 697 ~ 700페이지
· 저자명 : 정은선, 주고운, 김정수, 민경선, 최석진, 남해성, 조재화

초록

양측성 폐침윤을 보인 49세 여자에서 항생제 복합투여에도 상태가 더욱 악화되고 급성호흡곤란증후군으로 진행하였다. 폐병변의 원인을 밝히기 위하여 기관지 폐포 세척 및 폐생검을 시행하였고, NK-T 세포 림프종을 진단하여 보고하는 바이다.

영어초록

Primary pulmonary lymphoma is a rare disease, and non-B cell lymphomas (T-cell and natural killer cell lymphomas) involving the lung parenchyma are uncommonly reported. The most common radiological feature of pulmonary parenchymal lymphoma is a single mass or nodule. A 49-year-old woman with dyspnea was referred with suspicion of severe pneumonia. A chest radiograph showed diffuse nodular infiltration in both lungs. Acute respiratory failure was severe and rapidly progressive, so she was managed with a mechanical ventilator under the impression of acute respiratory distress syndrome (ARDS). A bronchoalveolar lavage and lung biopsy by video-assisted thoracic surgery revealed NK-T cell lymphoma. We report a case of extranodal NK-T cell lymphoma presenting as ARDS.

참고자료

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