Isolated pulmonary amyloidoma: A rare cause of solitary pulmonary nodule

DeCicco, Danielle; Alshaikhnassir, Esra; Deepak, Vishal; Hadique, Sarah; Sangani, Rahul

doi:10.1016/j.rmcr.2023.101820

Respiratory Medicine Case Reports

2023

DOI: 10.1016/j.rmcr.2023.101820

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Isolated pulmonary amyloidoma: A rare cause of solitary pulmonary nodule

Danielle DeCicco

Esra Alshaikhnassir

Vishal Deepak

et al.

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2023

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“…The literature indicates the existence of two amyloid forms with a high potential to affect the respiratory tract. The most common pattern is AL light chain (AL) amyloidosis, with an occurrence consecutive to the deposition of excess immunoglobulin light chain fragments, subsidiarily with a substrate of plasma cell dyscrasia [9,10]. AL amyloidosis accounts for approximately 70% of all systemic amyloidosis cases [9], or 63-80% in other sources [6].…”

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Pulmonary Amyloidoma: A Case Report and Brief Review of the Literature

Radu Șerban,

Florentin,

Alina

2023

Diagnostics

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We report the case of a 59-year-old female patient, a former smoker, who was diagnosed with bilateral pulmonary nodules. Extensive medical investigations were conducted, including a surgical lung biopsy, which led to the diagnosis of pulmonary amyloidoma. The diagnostic process was guided by the presence of a persistent, polymorphic, and nonspecific clinical picture, strengthened by imaging findings characterized by mixed nodular lesions and the addition of interstitial involvement, along with partial deterioration of the pulmonary parenchyma architecture. Although it is recognized as a benign tumor, pulmonary amyloidoma requires special care in order to rule out systemic involvement, association with lymphomas, or systemic amyloidosis. This case highlights the comprehensive investigations required in the presence of multiple pulmonary nodules and the wide range of possible diagnoses. It underscores the pivotal role of surgical lung biopsy and histopathological examination. The case is instructive, addressing a rare pathology, on the border between specialties, while also emphasizing potential evolving challenges and providing further insights into the clinical course of this disease.

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confidence: 99%

Pulmonary Amyloidoma: A Case Report and Brief Review of the Literature

Radu Șerban,

Florentin,

Alina

2023

Diagnostics

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Isolated pulmonary amyloidoma: A rare cause of solitary pulmonary nodule

Cited by 1 publication

References 18 publications

Pulmonary Amyloidoma: A Case Report and Brief Review of the Literature

Pulmonary Amyloidoma: A Case Report and Brief Review of the Literature

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