脓胸相关性淋巴瘤1例并文献复习  

Pyothorax-associated lymphoma： a case report and review of literatures

作　　者：张嵩[1] 程红霞[2] 梁斌[1] 

机构地区：[1]山东大学附属省立医院呼吸内科,济南250021 [2]山东大学附属省立医院病理科,济南250021

出　　处：《国际呼吸杂志》2014年第16期1211-1213,共3页International Journal of Respiration

摘　　要：目的探讨肺脓胸相关性淋巴瘤的诊断和鉴别方法，提高该病的诊治水平。方法回顾性分析1例脓胸相关性淋巴瘤诊治过程，结合文献复习。结果患者男性，68岁。咳嗽、咳痰、痰中带血15年，发热半月。有肺结核接触病史。胸部CT示右侧大量胸腔积液。病理和免疫组化确诊为脓胸相关性淋巴瘤。结论脓胸相关性淋巴瘤临床罕见，对疑似病例进行有创检查，结合病理及免疫组化有助于明确诊断。Objective To describe the clinical and pathological fealures of pyothorax-associated lymphoma,and to increase recognition of the disease. Methods A case of pyothorax-associated lymphoma was reported. The diagnostic and treatment course was retrospectively analyzed. The related literatures were reviewed. Results The patient was a 68-year-old man who presented as cough, expectoration and blood in phlegm for 15 years, fever for 15 days. Patient had tuberculosis contact history. Chest CT showed right massive pleural effusion. The histological sample and immunohistochemistry showed pyothoraxassociated lymphoma. Conclusions Pyothorax-associated lymphoma is very rare. Wounded operation should be carried on the suspected patients. Clinical pathology and immunohistochemistry are helpful for diagnosis.

关 键 词：胸腔积液 淋巴瘤 诊断 

分 类 号：R733.1[医药卫生—肿瘤]