AIDS-related pulmonary lymphoma

Changed by Yaïr Glick, 3 Jul 2017

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AIDS related-related pulmonary lymphoma (ARPL) is classified as a distinct form of pulmonary lymphoma. Pulmonary involvement is a common extranodal site in AIDS-related NHL.

Pathology

ARPL is typically a high-grade B-cell non-Hodgkin's lymphoma and the majority of patients have advanced HIV infection, with a mean CD4 count of around 67/mm33.

DiagnositcDiagnostic criteria

According to some publications, the diagnostic criteria for pulmonary involvement requires 2:

  • positive HIV status
  • histologically proven lymphomatous pulmonary involvement
  • absence of mediastinal and/or hilar adenopathy on chest radiography
  • absence of extrathoracic lymphoma extension

Radiographic features

CT - HRCT chest

Features can be variable and can include:

  • multiple peripheral well-defined nodules of varying sizes
    • usually, measure around 1-5 cm in diameter
    • these reflect dense focal monomorphic cellular infiltrates
    • considered the commonest of manifestationsmanifestation 1,4
  • centrilobular nodules
  • subpleural parenchymal infiltrative changes
  • peribronchovascular reticular infiltrative changes 4
  • peripheral mass like-like regions (may have associated cavitation).
  • interlobular septal thickening

See also

  • -<p><strong>AIDS related pulmonary lymphoma (ARPL)</strong> is classified as a distinct form of <a href="/articles/pulmonary-lymphoma">pulmonary lymphoma</a>. Pulmonary involvement is a common extranodal site in <a href="/articles/aids-related-nhl">AIDS-related NHL</a>.</p><h4>Pathology</h4><p>ARPL is typically a high-grade B-cell non-Hodgkin's lymphoma and the majority of patients have advanced HIV infection, with a mean CD4 count of around 67 <sup>3</sup>.</p><h5>Diagnositc criteria</h5><p>According to some publications, the diagnostic criteria for pulmonary requires <sup>2</sup>:</p><ul>
  • +<p><strong>AIDS-related pulmonary lymphoma (ARPL)</strong> is classified as a distinct form of <a href="/articles/pulmonary-lymphoma">pulmonary lymphoma</a>. Pulmonary involvement is a common extranodal site in <a href="/articles/aids-related-nhl">AIDS-related NHL</a>.</p><h4>Pathology</h4><p>ARPL is typically a high-grade B-cell non-Hodgkin's lymphoma and the majority of patients have advanced HIV infection, with a mean CD4 count of around 67/mm<sup>3</sup> <sup>3</sup>.</p><h5>Diagnostic criteria</h5><p>According to some publications, the diagnostic criteria for pulmonary involvement requires <sup>2</sup>:</p><ul>
  • -<li>usually measure around 1-5 cm in diameter</li>
  • -<li>these reflect dense focal monomorphic cellular infiltrates</li>
  • -<li>considered the commonest of manifestations <sup>1,4</sup>
  • +<li>usually, measure around 1-5 cm in diameter</li>
  • +<li>reflect dense focal monomorphic cellular infiltrates</li>
  • +<li>considered the commonest manifestation <sup>1,4</sup>
  • -<li>peripheral mass like regions (may have associated cavitation).</li>
  • +<li>peripheral mass-like regions (may have associated cavitation).</li>
  • -</ul><h4>See also</h4><ul><li><a href="/articles/hivaids-pulmonary-manifestations">pulmonary manifestations of HIV/AIDS</a></li></ul>
  • +</ul><h4>See also</h4><ul><li><a href="/articles/hivaids-pulmonary-manifestations-1">pulmonary manifestations of HIV/AIDS</a></li></ul>

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