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The Pleural Sandwich Sign in Two Cases of Primary Pleural Lymphoma
Authors:Yookyung Kim  Myungjae Lee  Yon Ju Ryu  Min-Sun Cho
Affiliation:1Department of Radiology, School of Medicine, Ewha Womans University, Seoul 158-710, Korea.;2Division of Pulmonary and Critical Care Medicine, Department of Medicine, School of Medicine, Ewha Womans University, Seoul 158-710, Korea.;3Department of Pathology, School of Medicine, Ewha Womans University, Seoul 158-710, Korea.
Abstract:The sandwich sign is used to describe mesenteric lymphoma in which mesenteric vessels and fat are enveloped by enlarged mesenteric lymph nodes. We present two cases of primary pleural lymphoma demonstrating the "pleural sandwich sign". Contrast-enhanced computed tomography showed conglomerated parietal pleural and extrapleural masses encasing the intercostal arteries. Histopathological examinations confirmed low grade marginal zone B-cell lymphoma in an 80-year-old man and diffuse large B-cell lymphoma in a 68-year-old man. The pleural sandwich sign may suggest the diagnosis of primary pleural lymphoma.
Keywords:Lymphoma   Pleura   Computed tomography   Needle biopsy
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