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Article in Japanese
Abstract
Case Report
Lung Cancer with Chylothorax Successfully Treated by Chemical Pleurodesis with OK-432
Yasuhiko Koga1) 2) Yoshinori Mita1) 2) Kunio Dobashi2) Takashige Masuo1) 2) Masayuki Aihara2) Yasuo Shimizu2) Yoshio Umegae1) Masatomo Mori2)
1)Department of Internal Medicine, Public Tomioka General Hospital, Tomioka, Gunma 370-2393, Japan 2)First Department of Internal Medicine, Gunma University School of Medicine, Maebashi, Gunma 371-8511, Japan
ABSTRACT
A 66-year-old man was admitted to our hospital because of bloody sputum. Chest computed tomographic scans disclosed a right hilar tumor. A tumor in the right upper-lobe bronchus was detected by fiberoptic bronchoscopy. Microscopic examination disclosed moderately differentiated squamous cell carcinoma. The patient was treated with irradiation and combination chemotherapy. Thereafter, right chylous pleural effusion developed and continued to accumulate. Pleurodesis was induced by the intrathoracic injection of OK-432 at 15 KE per dose. Lung cancer with nontraumatic chylothorax is rare. In our patient, pleurodesis with OK-432 was an effective treatment.
KEYWORDS
Lung cancer Chylothorax OK-432
Received 平成10年9月22日
JJRS, 37(8): 627-630, 1999
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