Canadian Respiratory Journal (Jan 2004)

Atypical Presentation of Lymphomatoid Granulomatosis in a Patient with Longstanding Sarcoidosis

  • Paul S Koh,
  • Annette HC Foyle,
  • Yannick Cartier,
  • G Ross Langley,
  • Nancy J Morrison,
  • Graeme Rocker,
  • Alan G Casson

DOI
https://doi.org/10.1155/2004/604923
Journal volume & issue
Vol. 11, no. 1
pp. 51 – 54

Abstract

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A patient was recently evaluated who had longstanding sarcoidosis with lymphadenopathy and multiple, small lung nodules, and who developed a new, 9 cm solitary pulmonary mass in the right lower lobe. After thoracotomy, this lesion was ultimately found to be lymphomatoid granulomatosis, a rare lymphoproliferative disorder. Radiographic evaluations of patients with this disorder characteristically show multiple, bilateral reticulonodular opacities that follow the bronchovascular bundles; however, presentation with a solitary, large pulmonary mass is rare. The present case illustrates the need for complete evaluation of new clinical and radiographic findings in the setting of chronic lung disease.