Korean J Med.  2017 Feb;92(1):74-78. 10.3904/kjm.2017.92.1.74.

Peripheral T-cell Lymphoma Presenting with Chylothorax

Affiliations
  • 1Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. btfulo@gmail.com
  • 2Department of Pediatrics, Jeju National University School of Medicine, Jeju, Korea.
  • 3Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.

Abstract

A 72-year-old male presented with respiratory discomfort. A simple chest X-ray and abdominal computed tomography showed pleural effusion and multiple lymph node enlargement. The pleural effusion was determined by thoracentesis to be chylothorax. An inguinal lymph node biopsy showed peripheral T-cell lymphoma. Following three cycles of cyclophospamide, hydroxyl doxorubicin, vincristine, prednisolone (CHOP) chemotherapy, a partial response was observed. Chylothorax is an extremely rare complication of T-cell lymphoma. We present a case of peripheral T-cell lymphoma presenting with chylothorax. We suggest that clinicians should consider chylothorax when examining patients with lymphoma who present with atypical pleural effusion.

Keyword

Chylothorax; Lymphoma; Pleural effusion

MeSH Terms

Aged
Biopsy
Chylothorax*
Doxorubicin
Drug Therapy
Humans
Lymph Nodes
Lymphoma
Lymphoma, T-Cell
Lymphoma, T-Cell, Peripheral*
Male
Pleural Effusion
Prednisolone
Thoracentesis
Thorax
Vincristine
Doxorubicin
Prednisolone
Vincristine
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