Asian Cardiovasc Thorac Ann 2003;11:185
© 2003 Asia Publishing EXchange Ltd
IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Pyothorax-Associated Lymphoma After Modified Eloesser Technique
Masato Kanzaki, MD,
Tetsuya Obara, MD,
Hiroshi Yamamoto, MD,
Tokuro Ohtsuka, MD,
Takamasa Onuki, MD
1 Department of Thoracic Surgery, Tokyo Metropolitan Fuchu Hospital, Department of Surgery I, Tokyo Women’s Medical University, Tokyo, Japan
For reprint information contact: Masato Kanzaki, MD Tel: 81 3 3353 8111 Fax: 81 3 3 5269 7387 email: kanzaki{at}chi.twmu.ac.jp Department of Surgery I, Tokyo Women’s Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan.
A 65-year-old woman with a past history of artificial pneumothorax for pulmonary tuberculosis at the age of 12 was admitted because of dyspnea, right chest pain, and back pain. She had undergone a modified Eloesser technique which involves decortication of the visceral peel and obliteration of the dead space by collapsing the parietal wall without rib resection, for chronic empyema with fistulization 4 months earlier. Laboratory studies on admission revealed a serum lactate dehydrogenase level of 10,670 IU•L-1. Chest computed tomography showed a huge mass in the dead space by the collapsed parietal wall (Figure 1
). Scintigraphy with 67Ga demonstrated accumulation in the right hemithorax. Examination of a specimen obtained by percutaneous needle biopsy resulted in a diagnosis of non-Hodgkin’s lymphoma. She is planning to receive combination chemotherapy with CHOP (cyclophosphamide, hydroxydaunomycin, Oncovin, and prednisone).
