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Secondary Organizing Pneumonia Mimicking Pulmonary Metastasis of a Diffuse Large Cell Lymphoma
Neumonía organizada secundaria que imita metástasis pulmonares de un linfoma difuso de células grandes
Catarina Lacerda
, Joana Lages, Rui Rolo
Corresponding author
Pneumology Department, Hospital de Braga, Portugal
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class="elsevierStyleTextfn">Clinical Image</span>" "titulo" => "Secondary Organizing Pneumonia Mimicking Pulmonary Metastasis of a Diffuse Large Cell Lymphoma" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "386" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Catarina Lacerda, Joana Lages, Rui Rolo" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Catarina" "apellidos" => "Lacerda" "email" => array:1 [ 0 => "catarinalacerda@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Joana" "apellidos" => "Lages" ] 2 => array:2 [ "nombre" => "Rui" "apellidos" => "Rolo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Pneumology Department, Hospital de Braga, Portugal" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Neumonía organizada secundaria que imita metástasis pulmonares de un linfoma difuso de células grandes" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 880 "Ancho" => 1250 "Tamanyo" => 192387 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Diagnostic PET-CT; (B) reassessment PET-CT after treatment; (C) lung lesion histology revealing an organizing pneumonia (buds of granulation tissue in the distal air spaces and mid infiltrate of alveolar septa). H&E stain, 100× magnification.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Secondary Organizing Pneumonia (OP) due to malignancy is a condition extremely rare. We describe a case of a 36 years-old woman, who presented with right cervical lymphadenopathies and multiple nodular foci of consolidation and ground glass opacities in CT images. The cervical lymphadenopathy biopsy reveled a diffuse large B-cell lymphoma (DLBCL). PET-CT detected metabolically activity involving lymphoid tissue in the nasopharynx, cervical right lymph nodes and lung lesions (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A). She had no respiratory symptoms. In order to confirm the initial stage of the disease, a CT-guided transthoracic tru-cut biopsy of the pulmonary lesions was performed, which revealed an organizing pneumonia (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Patient started treatment with R-CHOP chemotherapy and, after 4 cycles, reassessment images (CT and PET-CT) showed resolution of pulmonary lesions and no lymphoproliferative disease with metabolic activity (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The treatment of the underlying disease resolved the secondary OP. The patient completed treatment with involved-field radiation therapy. With this report, the authors empathize the importance of clarifying the etiology of pulmonary lesions that can mimic pulmonary metastasis and change the staging of oncologic diseases.<a class="elsevierStyleCrossRefs" href="#bib0015"><span class="elsevierStyleSup">1,2</span></a></p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 880 "Ancho" => 1250 "Tamanyo" => 192387 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Diagnostic PET-CT; (B) reassessment PET-CT after treatment; (C) lung lesion histology revealing an organizing pneumonia (buds of granulation tissue in the distal air spaces and mid infiltrate of alveolar septa). H&E stain, 100× magnification.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:2 [ 0 => array:3 [ "identificador" => "bib0015" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Organizing pneumonia in patients with hematologic malignancies: a steroid-responsive lesion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C.E. Daniels" 1 => "J.L. Myers" 2 => "J.P. Utz" 3 => "S.N. Markovic" 4 => "J.H. 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