Lymph node collision tumor consisting of metastatic pulmonary adenocarcinoma and diffuse large b-cell lymphoma

Shinnosuke Ikemura, Mitsuru Moriyama, Kimihiro Matsumoto, Shingo Nakayama, Tatsu Matsuzaki, Takahiro Nakajima, Aya Sasaki, Jun Miyauchi, Takeshi Terashima

Research output: Contribution to journalArticle

Abstract

A 67-year-old man presented with a fever and general malaise. Computed tomography showed multiple nodules in the lungs and liver, associated with mediastinal and para-aortic lymphadenopathy. Bone marrow aspiration revealed diffuse large B-cell lymphoma (DLBCL). Renal and liver dysfunction and pancytopenia inhibited chemotherapy administration; the patient subsequently died of multiorgan failure. An autopsy revealed pulmonary adenocarcinoma with metastases to the lungs, liver, and adrenal glands; the DLBCL spread to the liver, spleen, and bone marrow. Adenocarcinoma and DLBCL collision was observed in the mediastinal and para-aortic lymph nodes. This was a rare case of collision metastasis occurring in the lymph node.

Original languageEnglish
Pages (from-to)1135-1139
Number of pages5
JournalInternal Medicine
Volume57
Issue number8
DOIs
Publication statusPublished - 2018 Jan 1
Externally publishedYes

Fingerprint

Lymphoma, Large B-Cell, Diffuse
Lymph Nodes
Liver
Bone Marrow
Neoplasm Metastasis
Neoplasms
Lung
Pancytopenia
Adrenal Glands
Liver Diseases
Autopsy
Adenocarcinoma
Fever
Spleen
Tomography
Kidney
Drug Therapy
Adenocarcinoma of lung

Keywords

  • Adenocarcinoma
  • Collision tumor
  • Diffuse large B-cell lymphoma
  • Lung cancer
  • Malignant lymphoma

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Lymph node collision tumor consisting of metastatic pulmonary adenocarcinoma and diffuse large b-cell lymphoma. / Ikemura, Shinnosuke; Moriyama, Mitsuru; Matsumoto, Kimihiro; Nakayama, Shingo; Matsuzaki, Tatsu; Nakajima, Takahiro; Sasaki, Aya; Miyauchi, Jun; Terashima, Takeshi.

In: Internal Medicine, Vol. 57, No. 8, 01.01.2018, p. 1135-1139.

Research output: Contribution to journalArticle

Ikemura, S, Moriyama, M, Matsumoto, K, Nakayama, S, Matsuzaki, T, Nakajima, T, Sasaki, A, Miyauchi, J & Terashima, T 2018, 'Lymph node collision tumor consisting of metastatic pulmonary adenocarcinoma and diffuse large b-cell lymphoma', Internal Medicine, vol. 57, no. 8, pp. 1135-1139. https://doi.org/10.2169/internalmedicine.9280-17
Ikemura, Shinnosuke ; Moriyama, Mitsuru ; Matsumoto, Kimihiro ; Nakayama, Shingo ; Matsuzaki, Tatsu ; Nakajima, Takahiro ; Sasaki, Aya ; Miyauchi, Jun ; Terashima, Takeshi. / Lymph node collision tumor consisting of metastatic pulmonary adenocarcinoma and diffuse large b-cell lymphoma. In: Internal Medicine. 2018 ; Vol. 57, No. 8. pp. 1135-1139.
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AU - Matsuzaki, Tatsu

AU - Nakajima, Takahiro

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