• Rev Pneumol Clin · Sep 2007

    Case Reports

    [Primary pleural lymphoma: a late complication of pleural decortication for tuberculosis: two cases in western countries].

    • P Saint-Blancard, A Harket, G Defuentes, A-L de Fonclare, A Bonnichon, T de Revel, O Berets, and J Margery.
    • Service d'Anatomie Pathologique, Hôpital d'Instruction des Armées Percy, 101, avenue Henri-Barbusse, 92141 Clamart Cedex. psbpercy@yahoo.fr
    • Rev Pneumol Clin. 2007 Sep 1; 63 (4): 277-81.

    AbstractPleural 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.

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