Ann Thorac Surg Res | Volume 1, Issue 1 | Case Report | Open Access

Primary Non-Hodgkin Lymphoma of the Pleura Associated with Bilateral Chylothorax: An Unexpected Diagnosis

Diana Bacchin1*, Vittorio Aprile1, Greta Alì2, Gerardo Palmiero3, Donatella Fini4, Marcello Carlo Ambrogi1 and Marco Lucchi1

1Department of Surgical, Medical, Molecular, Pathology and Critical Care, Division of Thoracic Surgery, University Hospital of Pisa, Italy
2Department of Surgical, Medical, Molecular, Pathology and Critical Care, Unit of Pathological Anatomy III, University Hospital of Pisa, Italy
3Respiratory Unit, Versilia Hospital, Azienda USL 12 Viareggio, Lido di Camaiore, Italy
4Respiratory Unit, Osp. Civile S. Bartolomeo, Italy

*Correspondance to: Bacchin Diana 

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Abstract

Pleural effusion is a common finding in patients with advanced-stage lymphoma. Primary pleural lymphoma, instead, is a very rare entity that diagnosis is often challenging. This is a very interesting case of a 65-years-old immunocompetent woman affected by bilateral chylothorax as the only clinical manifestation of primary pleural small-B-lymphocytes non-Hodgkin lymphoma. The patients underwent to iterative thoracoscopic pleural biopsy since the mediastinal lymph-nodes biopsy and pleural effusion cytological examination were inconclusive. This case highlights the importance of a deep investigation of every pleural effusion, also with iterative pleural biopsy, because even an underestimated bilateral chylothorax can hide a rare neoplasm

Keywords:

Chylothorax; Pleural lymphoma; Pleural effusion; Non-Hodgkin lymphoma; Talc

Citation:

Bacchin D, Aprile V, Alì G, Palmiero G, Fini D, Carlo Ambrogi M, et al. Primary Non-Hodgkin Lymphoma of the Pleura Associated with Bilateral Chylothorax: An Unexpected Diagnosis. Ann Thorac Surg Res. 2019;1(1):1003.

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