• J Coll Physicians Surg Pak · Nov 2020

    Case Reports

    T-Cell Lymphoma Presenting With Bilateral Chylothorax.

    • Ibrahim Ethem Ozsoy and Mehmet Akif Tezcan.
    • Department of Thoracis Surgery, Kayseri City Hospital, Molu Kocasinan Kayseri, Turkey.
    • J Coll Physicians Surg Pak. 2020 Nov 1; 30 (11): 1220-1222.

    AbstractChylothorax is the accumulation of chyle in the pleural cavity due to obstruction or injury arising in the thoracic duct or its large branches. In more than 50% of patients diagnosed with chylothorax, the etiology consists of malignant diseases; and among these, lymphomas are the most common cause, accounting for 60% of cases. We report a case of a 37-year male with T-cell lymphoma who presented with bilateral pleural effusion; pleural fluid analysis confirmed chylothorax. A solid lymph node was detected in the left zone 4 on neck ultrasonography. Tru-cut biopsy was done and reported as T-cell lymphoma. The cytology was consistent with Class V (Malignant) T-cell lymphoma infiltration. Bilateral chylothorax, a complication of T-cell lymphoma, is a rare presentation of this disease. Our patient was diagnosed rapidly with both chylothorax and lymphoma. We started the treatment immediately and saved his life. Key Words: Chyle, Chylothorax, Lymphoma.

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