Kamiya I
Department of Thoracic Surgery, National Sanatorium Higashi Nagoya Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 May;44(5):709-13.
A 66-year-old man, with a past history of artificial pneumothorax for pulmonary tuberculosis at the age of 17, was admitted to our hospital because of progressive left precordial pain and left anterior chest wall tumor. Because of chronic pyothorax complicated by a tumor suggested by imaging diagnosis, surgery was performed for the purpose of fenestration. A diagnosis of diffuse large cell T-cell malignant lymphoma was made by the biopsy taken at surgery. Postoperatively the patient received 6 courses of combination chemotherapy with CHOP, the course turned favorable. The left precordial pain and tumor disappeared. The patient is doing well at 11 months postoperatively. Recently, cases of malignant lymphoma developing in the chest wall of chronic pyothorax have been increased and the majority of cases of the malignant lymphoma is B-cell type. T-cell type is rare. Follow-up of chronic pyothorax's patients necessarily are attentioned on the developing of the malignant lymphoma.
一名66岁男性，17岁时曾因肺结核行人工气胸治疗，因进行性心前区左侧疼痛及左前胸壁肿物入院。因影像诊断提示慢性脓胸合并肿物，遂行开窗手术。手术活检诊断为弥漫大细胞T细胞恶性淋巴瘤。术后患者接受6个周期CHOP方案联合化疗，病情好转。心前区左侧疼痛及肿物消失。术后11个月患者情况良好。近来，慢性脓胸胸壁发生恶性淋巴瘤的病例有所增加，且大多数恶性淋巴瘤病例为B细胞型。T细胞型罕见。对慢性脓胸患者的随访必须关注恶性淋巴瘤的发生。
