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KMID : 0882420100790060697
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Korean Journal of Medicine
2010 Volume.79 No. 6 p.697 ~ p.700
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NK-T cell lymphoma manifesting as acute respiratory distress syndrome
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Jeong Eun-Seon
Joo Ko-Woon
Kim Jung-Soo
Min Kyung-Sun
Choi Seok-Jin
Nam Hae-Sung
Cho Jae-Hwa
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Abstract
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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.
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KEYWORD
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Bronchoalveolar lavage, Extranodal NK-T cell lymphoma, Acute respiratory distress syndrome (ARDS)
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