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KMID : 1148020150400030079
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조선대학교의대논문집
2015 Volume.40 No. 3 p.79 ~ p.82
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Diffuse Large B-cell Lymphoma Mimicking Metastatic Lung Cancer with Sjogren’s Syndrome
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Choi Bo-Yoon
Yu Chang-Min
Park Chae-A
Yun Su-Hyun
Koh Seork-Young
Lee Kyung-Jin
Kim Ka-Young
Lee Jae-Min
Song Cheol-Min
Kim So-Yon
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Abstract
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Prognosis of the patients with lung cancer with lung-to-lung metastasis are known to be poor and frequently old aged persons with multiple nodules on imaging study abandon more invasive procedure including bronchoscopy and VATS (Videoassisted thoracoscopic surgery) to get tissue confirmation. Sjogren’s syndrome (SS) associated lung lesion mimicking lung cancer has a chance to have more favorable diseases including lymphoma. A 78-year-old woman with SS was admitted due to slowly progressive exertional dyspnea and multiple nodules on imaging study. She and her family gave up invasive diagnostic procedures at first due to old age but short term rapid change of dyspnea and nodules on chest CT brought out invasive procedures and diffuse large B-cell lymphoma was diagnosed. Dyspnea and nodules on imaging were improved after R-CHOP chemotherapy.
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KEYWORD
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sjogren's syndrome, diffuse large B-cell lymphoma, neoplasm metastasis
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