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霍奇金淋巴瘤胸部放疗后迟发性胸腔积液:一例随访超30年的病例报告

Delayed Onset of Pleural Effusion After Thoracic Radiation Therapy for Hodgkin Lymphoma: A Case Report With Over 30-Year Follow-Up.

作者信息

Katano Atsuto, Minamitani Masanari, Yamashita Hideomi, Nakagawa Keiichi

机构信息

Radiology, The University of Tokyo Hospital, Tokyo, JPN.

Department of Comprehensive Radiation Oncology, The University of Tokyo, Graduate School of Medicine, Tokyo, JPN.

出版信息

Cureus. 2022 Jul 22;14(7):e27138. doi: 10.7759/cureus.27138. eCollection 2022 Jul.

DOI:10.7759/cureus.27138
PMID:36017284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9392964/
Abstract

Pleural effusion after thoracic radiation therapy is an important adverse event affecting the patient's quality of life. A 58-year-old woman was referred to our hospital with the complaint of exertional dyspnea for several months. Chest radiography revealed left pleural effusion, most likely related to radiotherapy to mediastinal and left cervical lymph nodes in the treatment of localized Hodgkin lymphoma 25 years ago. She was followed for the next eight years and experienced a slow exacerbation of pleural effusion. Here, we report a case of extremely late-onset pleural effusion after thoracic radiotherapy.

摘要

胸部放疗后出现胸腔积液是一种影响患者生活质量的重要不良事件。一名58岁女性因劳力性呼吸困难数月前来我院就诊。胸部X线检查显示左侧胸腔积液,很可能与25年前因局限性霍奇金淋巴瘤接受纵隔及左侧颈部淋巴结放疗有关。在接下来的八年里对她进行了随访,发现胸腔积液逐渐加重。在此,我们报告一例胸部放疗后极迟发性胸腔积液的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/9392964/4bbe8770cf53/cureus-0014-00000027138-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/9392964/381d9436b113/cureus-0014-00000027138-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/9392964/4bbe8770cf53/cureus-0014-00000027138-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/9392964/381d9436b113/cureus-0014-00000027138-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/783f/9392964/4bbe8770cf53/cureus-0014-00000027138-i02.jpg

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Health Phys. 2021 Oct 1;121(4):434-443. doi: 10.1097/HP.0000000000001462.
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PET-guided omission of radiotherapy in early-stage unfavourable Hodgkin lymphoma (GHSG HD17): a multicentre, open-label, randomised, phase 3 trial.PET 引导的早期不利型霍奇金淋巴瘤放疗省略(GHSG HD17):一项多中心、开放标签、随机、3 期临床试验。
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成人胸腔积液:病因、诊断与治疗。
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