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Synchronous metastatic lung adenocarcinoma and marginal B-cell lymphoma presenting as pleural nodules
  1. Shayan Kassirian1,2,
  2. Michael Andrew Mitchell1,2 and
  3. Inderdeep Dhaliwal1,2
  1. 1London Health Sciences Centre, London, Ontario, Canada
  2. 2Respirology, Western University, London, Ontario, Canada
  1. Correspondence to Dr Inderdeep Dhaliwal; Inderdeep.Dhaliwal{at}


In this report, we present a 73 year old woman with synchronous metastatic lung adenocarcinoma and marginal B-cell lymphoma determined on histopathology of a parietal pleural biopsy. This case demonstrates radiological demonstration of pleural disease, procedural investigations and striking histopathology, along with a discussion around synchronous malignancy.

  • lung cancer (oncology)
  • haematology (incl blood transfusion)
  • radiology
  • cardiothoracic surgery

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  • Contributors SK: manuscript preparation, figures, literature review. MAM: literature review, patient care. ID: conceptualisation, literature review, patient care.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.