Lymphomatoid Granulomatosis: A Case Report and Review of the Literature

Authors

  • Chart Pichyangkura Institute of Pathology, Department of Medical Services, Ministry of Public Health
  • Prinya Sakiyalak Department of Surgery, Faculty of Medicine and Siriraj Hospital, Mahidol University, and Samitivej Hospital, Bangkok, Thailand

Abstract

A case of lymphomatoid granulomatosis involving the subcutaneous tissue, muscles, pleura and lung in a 40-year-old male is reported. The initial presentation consisted of subcutaneous nodular lesion of the right anterior chest wall with involvement of intercostal muscles of the third and fourth ribs.  Upon surgical excision of the mass with thoracotomy, pleural and lung involvement were then identified. The lung lesions were of nodular type confined to the lower lobe and hilum, subpleurally.  The diagnosis was made on the subcutaneous lesion. Groups of diseases, namely the limited form of Wegener's granulomatosis, malignant lymphoma, allergic granulomatosis and infectious granulomas were to be considered in the differential diagnosis.

References

1. Liebow, AA et al: Lymphomatoid granulomatosis, original articles. Human Pathol 3: 457-558, 1972.

2. Liebow, AA: The J. Burns Amberson Lecture-pulmonary angiitis and granulomatosis. Am Rev Respir Dis 108: 1, 1973.

3. Kay, S, Fu, YS, Minars, N, and Brady, JW: Lymphomatoid granulomatosis of the skin. Light microscopic and ultrastructural studies. Cancer 34: 1673, 1974.

4. Katzenstein, ALA, Carrington, CB, and Liebow, AA: Lymphomatoid granulomatosis. A clinicopathologic study of 152 cases. Cancer 43: 360, 1979.

5. Lee, SC, Roth, LH, Brasher, RE: Lymphomatoid granulomatosis. A clinical study of four cases. Cancer 38: 846, 1976.

6. Israel, HL, Patchefsky, AS, and Saldana, MJ: Wegener's granulomatosis, lymphomatoid granulomatosis and benign lymphocytic angiitis and granulomatosis of lung. Ann Int Med 87: 691, 1977.

7. Churg, I, and Strauss, L: Allergic granulomatosis, allergic angiitis and periarteritis nodosa. Am J Path 27: 277, 1951.

8. Carrington, CB, and Liebow, AA: Limited forms of angiitis and granulomatosis of Wegcner's type. Am J Med 41: 497, 1966.

9. Frizzera, G, Moran, EM, Rappaport, H: Angio-immnoblastic lymphodenopathy with dysproteinemia. Lancet 1: 1070, 1974.

10. Victor, H et al: Mediterranean abdominal Iymphoma or immunoproliferative small intestinal disease. Cancer 41: 1340, 1978.

11. Cassan, SM, Coles, DT, and Harrison, EG, Ir.: The concept of limited form of Wegener's granulomatosis. Am J Med 49: 366, 1970.

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Published

1980-12-30

How to Cite

1.
Pichyangkura C, Sakiyalak P. Lymphomatoid Granulomatosis: A Case Report and Review of the Literature. Thai J Surg [Internet]. 1980 Dec. 30 [cited 2024 Jul. 18];1(4):95-9. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/251262

Issue

Vol. 1 No. 4 (1980): October - December

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.