タイトル
Vol.38 No.2 contents Japanese/English

- Case Report -

A Case of T-cell Pyothorax-associated Lymphoma with Epstein-Barr Virus Infection

Toshinori Hashizume, Keiichi Kikuchi and Masanori Yasuda*
Department of Surgery, National Kanagawa Hospital, *Department of Pathology, Tokai University

A 69-year-old man, with a past history of artificial pneumothorax for pulmonary tuberculosis at the age of 24 was referred to our hospital for examination and treatment of left chest pain and swelling of the left chest wall. Serum NSE and LDH were high, and the computed tomography image of the chest showed a tumor mass from the wall of a chronic pyothorax spreading to subcutaneous tissue. Surgical biopsy of the tumor revealed non-Hodgkin's lymphoma (diffuse large cell, T-cell type). Epstein-Barr virus was detected in the lymphoma cells by in situ hybridization. Combination chemotherapy with CHOP, EPIC and CEP was performed but the patient died 5 months later after chemotherapy.
key words: Malignant lymphoma, Epstein-Barr virus, Tuberculous pyothorax, Pyothorax-associated lymphoma, T cell lymphoma

Received: December 16, 1997
Accepted: February 9, 1998

JJLC 38 (2): 153-157, 1998

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