[Primary pleural lymphoma: a late complication of pleural decortication for tuberculosis: two cases in western countries].
Pleural lymphomas after a long standing pyothorax due to pleuropulmonary tuberculosis are now well identified, but rarely observed in Europe. We report two new cases in a non-immunocompromised patients. The two cases occurred 5455 years following artificial pneumothorax for pulmonary tuberculosis. The patients presented with a localized pleural tumor mass. Histology revealed high-grade lymphomas, diffuse large B-cell lymphoma and anaplastic lymphoma. Serology for Epstein-Barr virus was positive. Pleural lymphomas are an established complication of artificial pneumothorax. Epstein-Barr virus is known to play a crucial role in the pathogenesis, but despite the large number of artificial pneumothorax operations, these lymphomas remain rare, suggesting additional oncogenic factors.
Saint-Blancard
P
P
Service d'Anatomie Pathologique, Hôpital d'Instruction des Armées Percy, 101, avenue Henri-Barbusse, 92141 Clamart Cedex. psbpercy@yahoo.fr
Harket
A
A
Defuentes
G
G
de Fonclare
A-L
AL
Bonnichon
A
A
de Revel
T
T
Berets
O
O
Margery
J
J
D000368:Aged; D000369:Aged, 80 and over; D000956:Antigens, Viral / Q000097:blood; D004654:Empyema, Tuberculous / Q000601:surgery; D005260:Female; D004854:Herpesvirus 4, Human / Q000276:immunology; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000209:etiology; D017728:Lymphoma, Large-Cell, Anaplastic / Q000209:etiology; D008228:Lymphoma, Non-Hodgkin / Q000209:etiology*; D008297:Male; D010997:Pleural Neoplasms / Q000209:etiology*; D011031:Pneumothorax, Artificial / Q000009:adverse effects*; D011183:Postoperative Complications; D014396:Tuberculosis, Pleural / Q000601:surgery*; D014397:Tuberculosis, Pulmonary / Q000601:surgery*
D000956:Antigens, Viral