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However, because neoplastic B cells of IVLBCL grow merely in the lumina of capillaries or small vessels, primary IVLBCL of the great vessels is considered exceptional. To our knowledge, only 2 primary B-cell lymphomas in the lumina of the vena cava have been reported. However, there has been no report of primary B-cell lymphoma with intra-aortic growth. We describe a novel manifestation of primary Epstein-Barr virus\u2013positive large B-cell lymphoma mainly affecting the lumina of the aorta and its major branches in a 76-year-old man. He had a long-term fever that was refractory to antibiotics and aortic mural thrombosis with visceral embolization. Because he had no detectable mass suggesting a malignancy, it was difficult to diagnose while he was alive. He died without anticancer treatment, and the confirmed diagnosis was made at autopsy.<\/jats:p>","DOI":"10.1177\/1066896917720030","type":"journal-article","created":{"date-parts":[[2017,11,2]],"date-time":"2017-11-02T00:23:34Z","timestamp":1509582214000},"page":"727-731","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Primary Intra-aortic Epstein-Barr Virus\u2013Positive Large B-Cell Lymphoma Presenting as Aortic Mural Thrombosis: An Entity Distinct From Intravascular Large B-Cell Lymphoma"],"prefix":"10.1177","volume":"25","author":[{"given":"Ryuta","family":"Nakao","sequence":"first","affiliation":[{"name":"Kyoto First Red Cross Hospital, Japan"},{"name":"Kyoto Prefectural University of Medicine, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aki","family":"Sakashita","sequence":"additional","affiliation":[{"name":"Kyoto First Red Cross Hospital, 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