Atypical Nodular Pulmonary Kappa Light-Chain Deposition

Author:

Nellipudi Jessy12ORCID,Brealey John3ORCID,Klebe Sonja23ORCID,Lance David14

Affiliation:

1. Department of Cardiothoracic Surgery, Flinders Medical Centre, Southern Adelaide Local Health Network, South Australia, Australia

2. College of Medicine and Public Health, Flinders University, South Australia, Australia

3. Department of Anatomical Pathology, Flinders Medical Centre, Southern Adelaide Local Health Network, South Australia, Australia

4. Fellow of the Royal Australian College of Surgeons, Australia

Abstract

We report a case of an incidental positron emission tomography avid right middle lobe lesion which was increasing in size. Due to concerns regarding malignancy, the patient underwent right middle lobectomy. Microscopic examination showed a 12 × 10 × 10  mm poorly circumscribed lesion composed of eosinophilic material. The material labelled strongly for kappa light chains; however, Congo red stain was only weakly positive and without “apple-green” positive birefringence under polarised light. Electron microscopy revealed fibrillar amyloid-like material. The features were those of kappa light-chain deposition.

Publisher

Hindawi Limited

Subject

General Medicine

Reference10 articles.

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