Ozsoy Ibrahim Ethem, Tezcan Mehmet Akif
Department of Thoracis Surgery, Kayseri City Hospital, Molu Kocasinan Kayseri, Turkey.
J Coll Physicians Surg Pak. 2020 Nov;30(11):1220-1222. doi: 10.29271/jcpsp.2020.11.1220.
Chylothorax is the accumulation of chyle in the pleural cavity due to obstruction or injury arising in the thoracic duct or its large branches. In more than 50% of patients diagnosed with chylothorax, the etiology consists of malignant diseases; and among these, lymphomas are the most common cause, accounting for 60% of cases. We report a case of a 37-year male with T-cell lymphoma who presented with bilateral pleural effusion; pleural fluid analysis confirmed chylothorax. A solid lymph node was detected in the left zone 4 on neck ultrasonography. Tru-cut biopsy was done and reported as T-cell lymphoma. The cytology was consistent with Class V (Malignant) T-cell lymphoma infiltration. Bilateral chylothorax, a complication of T-cell lymphoma, is a rare presentation of this disease. Our patient was diagnosed rapidly with both chylothorax and lymphoma. We started the treatment immediately and saved his life. Key Words: Chyle, Chylothorax, Lymphoma.
乳糜胸是由于胸导管或其大分支发生梗阻或损伤，导致乳糜在胸腔内积聚。在超过50%被诊断为乳糜胸的患者中，病因是恶性疾病；其中，淋巴瘤是最常见的原因，占病例的60%。我们报告一例37岁男性T细胞淋巴瘤患者，表现为双侧胸腔积液；胸腔积液分析证实为乳糜胸。颈部超声检查在左4区发现一个实性淋巴结。进行了粗针活检，报告为T细胞淋巴瘤。细胞学检查与V级（恶性）T细胞淋巴瘤浸润一致。双侧乳糜胸是T细胞淋巴瘤的一种并发症，是该疾病的罕见表现。我们的患者同时被快速诊断为乳糜胸和淋巴瘤。我们立即开始治疗，挽救了他的生命。关键词：乳糜、乳糜胸、淋巴瘤
