Santini Mario, Fiorello Alfonso, Vicidomini Giovanni, Busiello Luigi, Baldi Alfonso
Thoracic Surgery Unit, Second University of Naples, Naples, Italy.
Ann Thorac Surg. 2009 Aug;88(2):642-5. doi: 10.1016/j.athoracsur.2008.11.072.
We report a surgical a case of pyothorax-associated lymphoma of T-cell origin arising from the chest wall and developing on pleural sequelae of therapeutic pneumothorax for pulmonary tuberculosis. The tumor was removed with resection of the fifth to eighth ribs. The chest wall defect repaired with a Marlex (Phillips Sumika Polypropylene Co, Houston, TX) prothesis. The histologic, immunohistochemical, and genotypic features were conclusive for a diagnosis of T-cell non-Hodgkin lymphoma. The patient received postoperative chemotherapy and is doing well after 15 months.
我们报告了一例起源于胸壁并在肺结核治疗性气胸的胸膜后遗症上发展而来的T细胞源性脓胸相关淋巴瘤的外科病例。肿瘤通过切除第五至八肋骨得以切除。胸壁缺损用Marlex（菲利普斯住友聚丙烯公司，得克萨斯州休斯顿）假体修复。组织学、免疫组织化学和基因特征对于T细胞非霍奇金淋巴瘤的诊断具有决定性意义。患者接受了术后化疗，15个月后情况良好。
