Ohyama S, Bando K, Hasegawa Y, Taniguti M, Shirayma H
Department of Respiratory Medicine, Saiseikai Nakatsu Hospital, Osaka, Japan.
Nihon Kokyuki Gakkai Zasshi. 1998 May;36(5):473-7.
We report a case of chylothorax with malignant non-Hodgkin's lymphoma. A 51-year-old man was admitted to our hospital with a chief complaint of dyspnea on March 18, 1995. An x-ray film of the chest revealed a large right pleural effusion. Biochemical tests of the pleural fluid revealed chyle. CT scans of abdomen and chest showed retroperitoneal and mediastinal tumors. Examination of biopsy specimens of the retroperitoneal tumor showed non-Hodgkin's lymphoma (diffuse small cell type, B cell). Treatment with chemotherapy (CHOP, ProMACE-CytaBOM) resulted in complete remission. The chylothorax disappeared after chemotherapy. Only 21 cases of malignant lymphoma with chylothorax have been reported in Japan to date, but their numbers are gradually increasing. We must consider malignant lymphoma in patients with chylothorax.
我们报告一例伴有恶性非霍奇金淋巴瘤的乳糜胸病例。一名51岁男性于1995年3月18日因呼吸困难为主诉入院。胸部X线片显示右侧大量胸腔积液。胸腔积液的生化检查显示为乳糜。腹部和胸部CT扫描显示腹膜后和纵隔肿瘤。腹膜后肿瘤活检标本检查显示为非霍奇金淋巴瘤（弥漫小细胞型，B细胞）。化疗（CHOP、ProMACE-CytaBOM方案）治疗后完全缓解。化疗后乳糜胸消失。迄今为止，日本仅报道了21例伴有乳糜胸的恶性淋巴瘤病例，但其数量正在逐渐增加。对于乳糜胸患者，我们必须考虑到恶性淋巴瘤的可能。
