A case of lymphocytic interstitial pneumonia presenting with a ground glass nodule as an initial finding

Makoto Kawaguchi; Masayuki Nakayama; Masashi Bando; Shu Hisata; Naoko Mato; Takuji Suzuki; Tamiko Takemura; Koichi Hagiwara

doi:10.1016/j.rmcr.2020.101279

A case of lymphocytic interstitial pneumonia presenting with a ground glass nodule as an initial finding

Respir Med Case Rep. 2020 Nov 6:31:101279. doi: 10.1016/j.rmcr.2020.101279. eCollection 2020.

Authors

Makoto Kawaguchi¹, Masayuki Nakayama¹, Masashi Bando¹, Shu Hisata¹, Naoko Mato¹, Takuji Suzuki¹, Tamiko Takemura², Koichi Hagiwara¹

Affiliations

¹ Division of Pulmonary Medicine, Department of Medicine, Jichi Medical University, 3311-1, Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan.
² Department of Pathology, Kanagawa Cardiovascular and Respiratory Center, 6-16-1, Tomiokahigashi, Kanazawa, Yokohama, Kanagawa, 236-0051, Japan.

Abstract

A 65-year-old woman had a ground glass nodule, which was suspicious for lung cancer, in her right lung S⁶ by chest computed tomography. For diagnosis, video-assisted thoracoscopic surgery was performed, and the specimen showed a pathological pattern of lymphocytic interstitial pneumonia (LIP). Four years after surgery, new localized ground glass shadows gradually increased on the base of the lung. However, because she had no respiratory symptoms and had normal respiratory function, she was observed with no medication. Subsequently, no other underlying diseases associated with LIP developed. The ground glass nodule was the initial lesion of LIP.

Keywords: Ground glass nodule; Idiopathic interstitial pneumonias; Lymphocytic interstitial pneumonia; Video-assisted thoracoscopic surgery (VATS).

Publication types

Case Reports

Grants and funding

R01 HL136721/HL/NHLBI NIH HHS/United States