Canadian Respiratory Journal

Canadian Respiratory Journal / 2004 / Article

Case Report | Open Access

Volume 11 |Article ID 604923 |

Paul S Koh, Annette HC Foyle, Yannick Cartier, G Ross Langley, Nancy J Morrison, Graeme Rocker, Alan G Casson, "Atypical Presentation of Lymphomatoid Granulomatosis in a Patient with Longstanding Sarcoidosis", Canadian Respiratory Journal, vol. 11, Article ID 604923, 4 pages, 2004.

Atypical Presentation of Lymphomatoid Granulomatosis in a Patient with Longstanding Sarcoidosis


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.

Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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