The Japanese journal of thoracic diseases
Online ISSN : 1883-471X
Print ISSN : 0301-1542
ISSN-L : 0301-1542
A Case of Chylothorax Resulting from Malignant Lymphoma
Pathogenesis of Chylothorax A New Concept
Akiyoshi TakamiMasaki FujimuraShinji NakaoMasahide YasuiKazuhiko ShibataYasuhito NakatsumiTamotsu Matsuda
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JOURNAL FREE ACCESS

1993 Volume 31 Issue 1 Pages 112-116

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Abstract
We report a case of chylothorax in a 51-year-old male with non-Hodgkin's lymphoma. Combination chemotherapy reduced the size of mediastinal lymph nodes dramatically, but retroperitoneal lymph nodes remained almost the same, and chylothorax subsequentlly developed. Lymphangiogram showed reticular spread of contrast material from the thoracic duct downwards but not above the diaphragm. These findings suggest that an obstruction of the infra-diaphragmatic but not the supra-diaphragmatic thoracic duct caused development of collateral lymphatic channels penetrating the diaphragm into the thoracic cavity, with subsequent formation of chylothorax.
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© by The Japanese Respiratory Society
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