Primary Malignant Lymphoma Originating from the Chest Wall without Preceding Pleural Disease

Yumi Iwasa; Asuka Okada; Hideaki Takenaka; Terukazu Takahashi; Nobuo Koguchi; Kumiko Katayama; Shinsuke Murakami; Sumito Choh; Koichi Tomoda; Hiroshi Kimura

doi:10.2169/internalmedicine.56.7053

CASE REPORTS

Primary Malignant Lymphoma Originating from the Chest Wall without Preceding Pleural Disease

Yumi Iwasa, Asuka Okada, Hideaki Takenaka, Terukazu Takahashi, Nobuo Koguchi, Kumiko Katayama, Shinsuke Murakami, Sumito Choh, Koichi Tomoda, Hiroshi Kimura

Author information

Yumi Iwasa
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Asuka Okada
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Hideaki Takenaka
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Terukazu Takahashi
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Nobuo Koguchi
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Kumiko Katayama
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Shinsuke Murakami
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Sumito Choh
Department of Respiratory Medicine, Saiseikai Suita Hospital, Japan
Koichi Tomoda
2nd Department of Internal Medicine, Nara Medical University, Japan
Hiroshi Kimura
2nd Department of Internal Medicine, Nara Medical University, Japan

Keywords: malignant lymphoma, primary chest wall tumor, pyothorax associated lymphoma

JOURNAL OPEN ACCESS

2017 Volume 56 Issue 6 Pages 681-686

DOI https://doi.org/10.2169/internalmedicine.56.7053

Details

Abstract

An 84-year-old woman presented to our hospital with dyspnea on exertion and left back pain. Chest X-ray and chest computed tomography (CT) revealed an irregular pleural mass invading her left chest wall with rib destruction and pleural effusion. CT-guided needle biopsy revealed diffuse large B-cell lymphoma. Low-dose oral etoposide produced a complete response, and she continued oral chemotherapy for one year after the diagnosis and maintained good performance status. We herein report a very rare case of non-pyothorax-associated lymphoma that nonetheless resulted in great recovery.

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