title: Gastropleural fistula derived from malignant lymphoma.
abstract: An 88-year-old man developed pneumothorax and pleural effusion. After the finding of ingesta in the pleural effusion, a gastropleural fistula was diagnosed. A biopsy specimen of the stomach revealed non-Hodgkin lymphoma, diffuse large-cell, B-cell type. Autopsy examination demonstrated that the malignant lymphoma had originated from high-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma. Gastropleural fistula is an uncommon condition, as the diaphragm forms a thick barrier between the stomach and the thoracic cavity. We review 25 reported cases of gastropleural fistula found in a MEDLINE search from 1966 to 2000. In only 3 of the 25 patients was malignant lymphoma reported to have caused the gastropleural fistula.
authors.affiliation: Department of Internal Medicine, Sapporo Shirakabadai Hospital, Sapporo, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Adachi
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Sato
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yasui
authors.forename: Susumu
authors.initials: S
authors.lastname: Nishimura
authors.forename: Akiko
authors.initials: A
authors.lastname: Tanimura
authors.forename: Hiroo
authors.initials: H
authors.lastname: Yuasa
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Ishi
authors.forename: Kohzoh
authors.initials: K
authors.lastname: Imai
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Kato
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D017809:Fatal Outcome; D005402:Fistula / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D018442:Lymphoma, B-Cell, Marginal Zone / Q000150:complications* / Q000175:diagnosis; D008297:Male; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology; D010997:Pleural Neoplasms / Q000209:etiology* / Q000473:pathology; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D013902:Radiography, Thoracic; D018570:Risk Assessment; D013274:Stomach Neoplasms / Q000209:etiology* / Q000473:pathology; D014057:Tomography, X-Ray Computed