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Atypical Nodular Pulmonary Kappa Light-Chain Deposition
Author(s) -
Jessy A. Nellipudi,
John Brealey,
Sonja Klebe,
David Lance
Publication year - 2021
Publication title -
case reports in pathology
Language(s) - English
Resource type - Journals
eISSN - 2090-6781
pISSN - 2090-679X
DOI - 10.1155/2021/5578885
Subject(s) - kappa , immunoglobulin light chain , lesion , pathology , medicine , malignancy , eosinophilic , stain , staining , antibody , immunology , philosophy , linguistics
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.

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