1998 Volume 12 Issue 5 Pages 632-636
We report a case of non-Hodgkin malignant lymphoma developed in pyothoracic wall following artificial pneumothorax.
A 79-year-old man, who had underwent an artificial pneumothorax for pulmonary tuberculosis 42 years ago, was admitted to our hospital for a painful mass of the left chest wall.
The chest radiograph revealed a diffuse opacity of the left lung with pleural thickness. Chest CT showed a thickened and calcified pyothoracic wall, and a tumor which invaded the chest wall and ribs.
The enbloc resection of tumor and chest wall resection including the 8th, 9th, and 10th ribs was performed.
Histological diagnosis of the resected specimen was non-Hodgkin's malignant lymphoma, diffuse, large, B-cell type.
In Japan, about 100 cases of non-Hodgkin's lymphoma with chronic tuberculous pyothorax have been reported, although few cases were resected. The patient is well with no evidence of the recurrence for 2 years after the operation.
