Rare Cases of Primary Pleural Hodgkin and Non-Hodgkin Lymphomas

Steiropoulos, Paschalis; Kouliatsis, George; Karpathiou, Georgia; Popidou, Maria; Froudarakis, Marios

doi:10.1159/000135255

Cited by 22 publications

(17 citation statements)

References 26 publications

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“…By contrast, pleural involvement by systemic lymphoma is relatively common. Approximately 16% of patients with non-Hodgkin's lymphoma present with pleural disease or subsequently develop pleural involvement during the course of the disease [1,7]. Most of the primary pleural lymphomas are associated with HIV infection or chronic tuberculous pyothorax [1,8].…”

Section: Discussionmentioning

confidence: 99%

“…Approximately 16% of patients with non-Hodgkin's lymphoma present with pleural disease or subsequently develop pleural involvement during the course of the disease [1,7]. Most of the primary pleural lymphomas are associated with HIV infection or chronic tuberculous pyothorax [1,8]. Two forms of primary pleural high-grade lymphoma are described: primary effusion lymphoma (PEL) and pyothorax-associated lymphoma (PAL) [8].…”

Section: Discussionmentioning

confidence: 99%

“…It usually affects patients with human immunodeficiency virus (HIV) infection or chronic pyothorax [1,2]. However, an extremely rare type of primary pleural lymphoma has been described in immunocompetent patients with no history of chronic tuberculous pyothorax.…”

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Primary mucosa-associated lymphoid tissue lymphoma as a pleural mass

Barahona

Dueñas²,

Sánchez³

et al. 2011

BJR

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ABSTRACT. Primary pleural lymphoma is a rare entity that has been described in association with human immunodeficiency virus (HIV) infection or pyothorax. It occurs in only 7% of primary lymphoma cases. We report the case of a 52-year-old male with no history of HIV infection or pyothorax who was diagnosed of obstructive sleep apnoea syndrome (OSAS) and underwent a routine chest X-ray to screen for any organic cause of the symptoms. The radiograph revealed two voluminous masses with extraparenchymatous features but without pleural effusion. A contrast-enhanced CT was performed and confirmed the existence of the pleural masses that showed homogeneous attenuation. Neither mediastinal lymphadenopathy nor pleural effusion were present. A percutaneous CT-guided fine needle aspiration cytology (FNAC) with a 25-G needle was performed (two samples were obtained) and the first diagnosis was of non-Hodgkin's lymphoma. The final diagnosis of primary pleural mucosa-associated lymphoid tissue (MALT) lymphoma was confirmed by a CT-guided core biopsy with a 20-G needle. To the best of our knowledge, no cases of MALT lymphoma presenting as pleural masses without pleural effusion have been reported in immunocompetent patients. In this report, we describe the case of a patient with a primary pleural MALT lymphoma and include a short review of the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Primary mucosa-associated lymphoid tissue lymphoma as a pleural mass

Barahona

Dueñas²,

Sánchez³

et al. 2011

BJR

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“…The success of MT in diagnosing pleural lymphomas has been reported previously (13)(14)(15). Although the present study's sample size is relatively small, the current retrospective review is the first to specifically assess the utility of MT in the diagnosis of MPE induced by NHL.…”

Section: Discussionmentioning

confidence: 91%

“…Two types of primary pleural lymphomas have been described: Body-cavity-based lymphoma seen in patients with human immunodeficiency virus infection (10,11) and pyothorax-associated lymphoma in those with tuberculosis (12). In addition, an extremely rare type of primary pleural lymphoma, seen in immunocompetent patients without history of pyothorax, has been reported in case studies in the literature (13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic value of medical thoracoscopy in malignant pleural effusion induced by non‑Hodgkin's lymphoma

Wang

et al. 2017

Oncol Lett

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Abstract. Malignant pleural effusion (MPE) appears in up to 20% of patients with non-Hodgkin's lymphoma (NHL). The present study aimed to assess the efficacy of medical thoracoscopy (MT) in the diagnosis of patients with MPE induced by NHL. Between July 2005 and June 2014, 833 patients with pleural effusions of unknown etiology underwent MT in Beijing Chaoyang Hospital (Beijing, China), where diagnostic thoracocentesis or/and blind pleural biopsy had failed to yield an answer. Demographic, radiographic, thoracoscopic, histological and immunophenotyping data of 10 NHL patients with MPE were then retrospectively analyzed. Under medical thoracoscopy, pleural nodules (in n=6 patients), hyperemia (n=5), plaque-like lesions (n=4), pleural thickening (n=3), cellulose (n=3), ulcer (n=2), adhesion (n=2), and scattered hemorrhagic spots (n=1) were observed on the surface of parietal pleura. Histopathological and immunohistochemical analysis of pleural biopsy samples led to a correct diagnosis of B-cell NHL in 7 patients and T-lymphoblastic NHL in 2 patients.Data from the present study demonstrated that pleural biopsy through MT achieved a definite diagnosis of NHL in 9 out of 10 (90%) patients with MPE induced by NHL. Therefore, MT is a useful method for diagnosing MPE induced by NHL.

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