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Article in Japanese
Abstract
Case Report
A case of lung cancer with chylothorax
Takeo Iwasaki Masahide Mori Yoshinobu Namba Manabu Niinaka Hiromi Kimura Nobuyuki Naka Tatsuya Okada Masaru Nakagawa Soichiro Yokota Masami Ito
Department of Respiratory Medicine, National Hospital Organization Toneyama National Hospital
ABSTRACT
A 42-year-old man had swelling in the right side of the neck, cough and chest pain. On admission, an abnormal shadow was detected in the right upper lung field and squamous cell carcinoma of the lung with superior vena cava (SVC) syndrome was diagnosed. Concurrent radiotherapy and systemic chemotherapy consisting of cisplatin and vinorelbine induced a partial response. At 15 months after diagnosis, he was re-admitted because of bilateral pleural effusion and facial edema due to relapse of SVC syndrome. Examination of the milky right pleural effusion revealed chylothorax (959 mg/dl of β -lipoprotein and 675 mg/dl of triglyceride). The right effusion was finally controlled by pleurodesis with OK-432. Non-traumatic chylothorax is a rare complication of lung cancer.
KEYWORDS
Lung cancer Chylothorax OK-432 Pleurodesis
Received 平成17年10月6日
JJRS, 44(10): 706-710, 2006
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