Gastropleural fistula derived from malignant lymphoma

被引:17
作者
Adachi, Y
Sato, Y
Yasui, H
Nishimura, S
Tanimura, A
Yuasa, H
Ishi, Y
Imai, K
Kato, Y
机构
[1] Sapporo Shirakabadai Hosp, Dept Internal Med, Toyohira Ku, Sapporo, Hokkaido 0620052, Japan
[2] Sapporo Shirakabadai Hosp, Dept Pathol, Sapporo, Hokkaido, Japan
[3] Sapporo Med Univ, Dept Internal Med 1, Sapporo, Hokkaido, Japan
关键词
gastropleural fistula; malignant lymphoma; MALToma; review;
D O I
10.1007/s005350200177
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
An 88-year-old man developed pneumothorax and pleural effusion. After the finding of ingesta in the pleural effusion, a gastropleural fistula was diagnosed. A biopsy specimen of the stomach revealed non-Hodgkin lymphoma, diffuse large-cell, B-cell type. Autopsy examination demonstrated that the malignant lymphoma had originated from high-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma. Gastropleural fistula is an uncommon condition, as the diaphragm forms a thick barrier between the stomach and the thoracic cavity. We review 25 reported cases of gastropleural fistula found in a MEDLINE search from 1966 to 2000. In only 3 of the 25 patients was malignant lymphoma reported to have caused the gastropleural fistula.
引用
收藏
页码:1052 / 1056
页数:5
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