Ben Saad Ahmed, Fahem Nesrine, Khemakhem Rim, Abdeljelil Nouha Ben, Migaou Asma, Njima Manel, Mhamed Saousen Cheikh, Joobeur Samah, Rouatbi Naceur
Pulmonology Department, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Department of Pathology, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Respir Med Case Rep. 2019 Feb 8;26:251-254. doi: 10.1016/j.rmcr.2019.02.006. eCollection 2019.
Primary lymphoma presenting a solitary lesion of the chest wall is extremely rare, as the majority of chest-wall tumors arise from metastasis. We report a case of a 64-year-old man with no history of HIV infection or pyothorax who presented with dry cough, right pleuritic pain and dyspnea. A computed tomography scan revealed an irregular pleural mass invading his right chest wall with pleural effusion. CT-guided needle biopsy revealed extranodal marginal zone B-cell lymphoma. The patient was treated with chemotherapy and radiotherapy. The patient has 9 years of follow up with 2 relapse's episodes.
原发性淋巴瘤表现为胸壁孤立性病变极为罕见，因为大多数胸壁肿瘤源于转移。我们报告一例64岁男性患者，无HIV感染或脓胸病史，表现为干咳、右胸痛和呼吸困难。计算机断层扫描显示一个不规则的胸膜肿块侵犯其右胸壁并伴有胸腔积液。CT引导下针吸活检显示为结外边缘区B细胞淋巴瘤。该患者接受了化疗和放疗。患者已随访9年，有2次复发。
