原发性髓外造血表现为大量双侧乳糜胸。

Primary extramedullary hematopoiesis manifesting as massive bilateral chylothorax.

作者信息

Ghosh Arup K, Pawade Joya, Standen Graham R, Lang-Lazdunski Loïc

机构信息

Department of Thoracic Surgery, Bristol Royal Infirmary, Bristol, United Kingdom.

出版信息

Ann Thorac Surg. 2005 Oct;80(4):1515-7. doi: 10.1016/j.athoracsur.2004.03.088.

DOI:10.1016/j.athoracsur.2004.03.088

PMID:16181908

Abstract

Intrathoracic extramedullary hematopoiesis is a rare entity, mostly observed in patients with hematologic disorders. Extramedullary hematopoiesis is usually asymptomatic and is often located in the lower paravertebral sulci and rarely in the pleura. We report the case of a 54-year-old man without hematologic disorder or pleural malignancy who had a massive bilateral chylothorax develop due to primary pleural extramedullary hematopoiesis. He was successfully treated by bilateral video thoracoscopic talc pleurodesis and low-dose radiotherapy.

摘要

胸内髓外造血是一种罕见的情况，多见于血液系统疾病患者。髓外造血通常无症状，多位于椎旁沟下部，很少见于胸膜。我们报告一例54岁男性，无血液系统疾病或胸膜恶性肿瘤，因原发性胸膜髓外造血导致双侧大量乳糜胸。通过双侧电视胸腔镜滑石粉胸膜固定术和低剂量放疗，他得到了成功治疗。