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[Chylothorax resulting from malignant non Hodgkin's lymphoma]
S Ohyama1, K Bando, Y Hasegawa
1Department of Respiratory Medicine, Saiseikai Nakatsu Hospital, Osaka, Japan.
Summary
Chylothorax, a rare complication, can be caused by malignant non-Hodgkin's lymphoma. Chemotherapy effectively treated both the lymphoma and the chylothorax in this case.
Area of Science:
- Oncology
- Pulmonology
- Pathology
Background:
- Malignant lymphoma is a rare cause of chylothorax.
- This case highlights the association between non-Hodgkin's lymphoma and chylothorax.
Observation:
- A 51-year-old male presented with dyspnea and right pleural effusion.
- Pleural fluid analysis confirmed chylothorax; CT scans revealed retroperitoneal and mediastinal tumors.
- Biopsy confirmed diffuse small cell, B-cell non-Hodgkin's lymphoma.
Findings:
- Treatment with chemotherapy (CHOP, ProMACE-CytaBOM) led to complete remission of the lymphoma.
- The chylothorax resolved following chemotherapy.
- This case adds to the growing number of reported malignant lymphoma-associated chylothorax cases.
Implications:
- Malignant lymphoma should be considered in the differential diagnosis of chylothorax.
- Effective chemotherapy can resolve chylothorax in lymphoma patients.
- Increased awareness and reporting of such cases are crucial for better patient outcomes.