Prognosis of the patients with lung cancer with lung-to-lung metastasis are known to be poor and frequently old aged persons with multiple nodules on imaging study abandon more invasive procedure including bronchoscopy and VATS (Videoassisted thoracoscopic surgery) to get tissue confirmation. Sjogren’s syndrome (SS) associated lung lesion mimicking lung cancer has a chance to have more favorable diseases including lymphoma. A 78-year-old woman with SS was admitted due to slowly progressive exertional dyspnea and multiple nodules on imaging study. She and her family gave up invasive diagnostic procedures at first due to old age but short term rapid change of dyspnea and nodules on chest CT brought out invasive procedures and diffuse large B-cell lymphoma was diagnosed. Dyspnea and nodules on imaging were improved after R-CHOP chemotherapy.

• 최보윤(경찰병원 내과) | Bo Yoon Choi
• 유창민(경찰병원 내과) | Chang Min Yu Corresponding author
• 박채아(경찰병원 내과) | Chae A Park
• 윤수현(경찰병원 내과) | Su Hyen Yoon
• 고석영(경찰병원 내과) | Seok Young Koh
• 이경진(경찰병원 내과) | Kyung Jin Lee
• 김가영(경찰병원 내과) | Ka Young Kim
• 이재민(경찰병원 내과) | Jae Min Lee
• 송철민(흉부외과) | Cheol Min Song
• 김소연(한국수력원자력 ㈜ 방사선 보건연구원) | Soyon Kim