基礎疾患のない胸壁原発悪性リンパ腫の１例

DOI 被引用文献4件 参考文献14件

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  • Primary malignant lymphoma in the chest wall without preceding disease.

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A 74-year-old man underwent an exploratory resection of an expanding and painful tumor on the right side in the chest wall. It was diagnosed as non-Hodgkin's lymphoma, diffuse large cell type, and radiation therapy was given postoperatively. About three and a half years later, on the left chest wall the same tumor as the right one appeared and was resected. It was diagnosed as recurrent non-Hodgkin's lymphoma from the pathological and clinical findings. Combination chemotherapy and radiation therapy were given. He is alive well, and free of recurrence four years after he was first treated. He had no history of empyema or tuberculosis. High titers of anti-VCA (IgG) antibody were found in his serum . Epstein-Barr virus was not found in tissue specimens by in situ hybridization. Malignant lymphomas in the chest wall mostly arise in cases of chronic tuberculous pyothorax or tuberculous pleuritis, but in the present case there was no preceding disease. We report a rare case of malignant lymphoma in the chest wall.

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