[False empyema after artificial pneumothorax. An original entity: type B non Hodgkin malignant lymphoma].
Malignant lymphoma developing in the lung after therapeutic pneumothorax is a rare condition in Europe. The authors report one case admitted after a 40-year history of pyothorax resulting from artificial pneumothorax for treatment of pulmonary tuberculosis. The diagnosis at admission was an infection of the chronic pyothorax associated with a lung mass. Histology confirmed the presence of non-hodgkin lymphoma B in the lung mass associated with Epstein-Barr virus. After surgery, chimiotherapy was not effective. Diagnosis before surgery could optimize the medical management. The long-term outcome is pejorative in most cases.
Borrelly
J
J
Service de Chirurgie Thoracique, Chirurgie E, Hôpital de Brabois, V indceuvre-les-Nancy.
Sebbag
H
H
Vignaud
J M
JM
D000368:Aged; D003937:Diagnosis, Differential; D004654:Empyema, Tuberculous / Q000150:complications*; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000821:virology; D016393:Lymphoma, B-Cell / Q000000981:diagnostic imaging / Q000473:pathology* / Q000821:virology; D008297:Male; D011031:Pneumothorax, Artificial / Q000009:adverse effects; D014057:Tomography, X-Ray Computed
Faux empyème de nécessité après collapsothérapie. Une entité originale: le lymphome malin non hodgkinien de type B.