Abstract
A 78-year-old man consulted for acute exacerbation of chronic obstructive pulmonary disease (COPD) and an incidental finding of an anterior mediastinal tumor on chest radiograph was noted on admission. Chest computed tomography (CT) revealed a fat-containing mediastinal mass with solid component. Mediastinal liposarcoma was the initial diagnosis based on image characteristics but histopathologic examination of the excised tumor revealed lymphoma infiltration of the mediastinal adipose tissue. To our knowledge, this is the first case report of lymphomatous growth in mediastinal lipomatosis.
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Levitt LJ, Aisenberg AC, Harris NL, Linggood RM, Poppema S. Primary non-Hodgkin’s lymphoma of the mediastinum. Cancer 1982;50:2486–92.
Trump DL, Mann RB. Diffuse large cell and undifferentiated lymphomas with prominent mediastinal involvement. Cancer 1982;50:277–82.
Jaffe ES. World Health Organization: pathology and genetics of tumours of haematopoietic and lymphoid tissues. Lyon Oxford, IARC Press; Oxford University Press, 2001.
Armitage JO, Weisenburger DD. New approach to classifying non-Hodgkin’s lymphomas: clinical features of the major histologic subtypes. Non-hodgkin’s lymphoma classification project. J Clin Oncol 1998;16:2780–95.
Addis BJ, Isaacson PG. Large cell lymphoma of the mediastinum: a B-cell tumour of probable thymic origin. Histopathology 1986;10:379–90.
Jacobson JO, et al. Mediastinal large cell lymphoma. An uncommon subset of adult lymphoma curable with combined modality therapy. Cancer 1988;62:1893–98.
Tateishi U, et al. Primary mediastinal lymphoma: characteristic features of the various histological subtypes on CT. J Comput Assist Tomogr 2004;28:782–9.
Gaerte SC, Meyer CA, Winer-Muram HT, Tarver RD, Conces DJ. Fat-containing lesions of the chest. Radiographics 2002;22:S61–78.
Klimstra DS, Moran CA, Perino G, Koss MN, Rosai J. Liposarcoma of the anterior mediastinum and thymus. A clinicopathologic study of 28 cases. Am J Surg Pathol 1995;19:782–91.
Schweitzer DL, Aguam AS. Primary liposarcoma of the mediastinum. Report of a case and review of the literature. J Thorac Cardiovasc Surg 1977;74:83–97.
Grewal RG, Prager K, Austin JH, Rotterdam H. Long term survival in non-encapsulated primary liposarcoma of the mediastinum. Thorax 1993;48:1276–77.
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Huang, C.T., Huang, W.C., Shih, J.Y. et al. Primary mediastinal large B-cell lymphoma mimicking liposarcoma. Med Oncol 25, 284–286 (2008). https://doi.org/10.1007/s12032-007-9032-0
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DOI: https://doi.org/10.1007/s12032-007-9032-0