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Maltoma
Pseudolymphoma

 

  • Collections of apparently benign lymphocytes which lack the usual invasive characteristics of true lymphoma

  • Lack of invasion of extrapulmonary tissues in this disease

  • Mixed cellular infiltration (as opposed to uniform cellular infiltration of true lymphoma) with mature lymphocytes predominating

  • Other lesions characterized by the presence of mature lymphocytes

    • LIP

    • Castleman’s disease–lymph node hyperplasia

    • Lymphomatoid granulomatosis

    • Well-differentiated lymphocytic lymphoma

  • Classically, there is no involvement of the lymph nodes in the hilum or mediastinum

  • May be associated with Dilantin administration (as is true lymphoma and benign lymph node hyperplasia)

  • Asymptomatic

 

 X-ray

 

  • Dense infiltrate

  • Invariably has air bronchogram

  • May also have nodules, segmental consolidation or diffuse interstitial infiltration

"Masses" containing air bronchograms-differential diagnosis

  • Lymphoma

  • Pseudolymphoma (maltoma)

  • Alveolar sarcoid

  • Alveolar cell carcinoma

 

WH

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