A surgical case of pyothorax-associated lymphoma of T-cell origin arising from the chest wall in chronic empyema

Ann Thorac Surg. 2009 Aug;88(2):642-5. doi: 10.1016/j.athoracsur.2008.11.072.

Abstract

We report a surgical a case of pyothorax-associated lymphoma of T-cell origin arising from the chest wall and developing on pleural sequelae of therapeutic pneumothorax for pulmonary tuberculosis. The tumor was removed with resection of the fifth to eighth ribs. The chest wall defect repaired with a Marlex (Phillips Sumika Polypropylene Co, Houston, TX) prothesis. The histologic, immunohistochemical, and genotypic features were conclusive for a diagnosis of T-cell non-Hodgkin lymphoma. The patient received postoperative chemotherapy and is doing well after 15 months.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Chronic Disease
  • Empyema, Tuberculous / complications*
  • Humans
  • Immunohistochemistry
  • Lymphoma, T-Cell / diagnosis
  • Lymphoma, T-Cell / etiology*
  • Lymphoma, T-Cell / metabolism
  • Lymphoma, T-Cell / pathology
  • Lymphoma, T-Cell / surgery
  • Male
  • Pleural Effusion / diagnostic imaging
  • Pneumothorax, Artificial
  • Prostheses and Implants
  • Radiography
  • Thoracic Neoplasms / diagnosis
  • Thoracic Neoplasms / etiology*
  • Thoracic Neoplasms / metabolism
  • Thoracic Neoplasms / pathology
  • Thoracic Neoplasms / surgery
  • Thoracic Wall* / diagnostic imaging
  • Thoracic Wall* / pathology
  • Thoracic Wall* / surgery
  • Tuberculosis, Pulmonary / surgery