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The
lymphoproliferative disorders represent a spectrum of lymphoid
abnormalities that can involve the chest.
Plasma cell granuloma,
mucosa-associated lymphoid tissue lymphoma
, posttransplantation lymphoproliferative disorders, lymphoid interstitial
pneumonia,
follicular bronchiolitis
and lymphomatoid granulomatosis involve the pulmonary parenchyma, whereas
Castleman's disease, infectious mononucleosis, and angioimmunoblastic
lymphadenopathy with dysproteinemia involve intrathoracic lymph nodes.
Recent
immunohistochemical techniques give us a better understanding of the
lymphoproliferative disorders.
Clinical and
radiologic features often allow differentiation of the lymphoproliferative
disorders from the more common aggressive lymphomas.
- Low grade
; - High grade ; - High with low grade
areas
2.
Reactive pulmonary lymphoid hyperplasia:
Lymphocytic
Interstitial Pneumonia / Follicular
Bronchiolitis
3.
Lymphomatoid
granulomatosis
4.
Post transplant lymphoproliferative disorders
5.
Secondary
involvement by other types of lymphomas and reactive
lymphoid conditions.
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May 2009
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