Not Always (and Only) Heart Failure—A Case Report of Primary Pleural Lymphoma in an Elderly Patient

Clinics and Practice

Fernando Silva¹  Filipa Ferreira²  Marcelo Aveiro²  Mariana Teixeira²  Margarida Eulálio²  Tiago Rabadão²  Leonor Naia² 

[1] Hematology Department, Centro Hospitalar do Baixo Vouga, Artur Ravara, 3810-164 Aveiro, Portugal;Medicine Department, Centro Hospitalar do Baixo Vouga, Artur Ravara, 3810-164 Aveiro, Portugal;

关键词: pleural primary lymphoma;    hematologic neoplasms;    pleural effusion;    thoracentesis;    population-ageing;   

DOI  :  10.3390/clinpract11010006

来源: DOAJ

【 摘 要 】

Pleural involvement in Non-Hodgkin Lymphoma (NHL) is well documented, but primary pleural lymphomas are extremely rare, occurring mostly in immunosuppressed patients or associated with chronic pleural inflammation. Nevertheless, the pathogenesis and therapeutic approaches to counteract primary pleural lymphomas are still matter of debate. The authors present the clinical case of an 81-year-old female with respiratory and constitutional symptoms. A valvular heart disease and bilateral pleural effusion were known. The study carried out showed a large right pleural effusion; the fluid analysis was compatible with Diffuse Large B-cell Lymphoma (DLBCL), and two lymphomatous masses with pleural origin were found at the ipsilateral hemithorax. Primary pleural lymphoma was considered and chemotherapy was initiated with a good response and evolution. The authors report this remarkable clinical case because of its rarity, its excellent clinical evolution and the absence of an immunodeficiency context.

【 授权许可】

Unknown