[Chylothorax as the initial manifestation of malignant Hodgkin lymphoma].
A 22 year-old man complaining of slight thoracic pain, was found to have a right pleural effusion in his chest X-ray. The pleural aspiration yielded chylous fluid and radiological examination and biopsy of a mediastinal mass led to the diagnosis of Hodgkin's disease of the nodular sclerosis type with supra- and radiologically infradiaphragmatic disease and a pathological fracture of the sternum. After complete initial aspiration of the pleural effusion the chylothorax did not recur following initiation of a combination chemotherapy, and a clear regression of the lymphoma was found after the first 3 cycles. This case provides an example of an oligosymptomatic, right sided chylothorax as the first manifestation of Hodgkin's disease in a young immuno-competent patient.
Shalev
A
A
Departement Innere Medizin, Universitätsspital Basel.
Borer
H
H
Reusser
P
P
Perruchoud
A P
AP
D000328:Adult; D002916:Chylothorax / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed
Chylothorax als Erstmanifestation eines malignen Hodgkin-Lymphoms.