Diagnostic value of thoracoscopy for pleural effusion caused by lymphoma

Di-san junyi daxue xuebao

LIU Daishun¹  LIU Gang¹  HUANG Zansheng² 

[1] Department of Respiratory Diseases, the Third Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou Province, 563002;Institute of Respiratory Diseases, Key Laboratory of Respiratory Diseases, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, 400037, China;

关键词: lymphoma;    medical thoracoscopy;    pleural effusion;   

DOI  :  10.16016/j.1000-5404.201903143

来源: DOAJ

【 摘 要 】

Objective To evaluate the diagnostic value of thoracoscopy in pleural effusion caused by lymphoma. Methods The endoscopic characteristics and clinical manifestations of 6 patients with lymphoma diagnosed by thoracoscopy in the Second Affiliated Hospital of Army Medical University from 2013 to 2018 were retrospectively analyzed, and the related literature was reviewed. Results The thoracoscopic findings and clinical features of the 6 patients were lack of specificity, which were mainly characterized as pleural multiple nodules (n=5), and/or accompanied by pleural adhesion (n=3), partition (n=1), pleural hypertrophy (n=1) or pigmentation (n=1). All patients were accompanied with pulmonary lesions and exudative pleural effusion, including 3 cases of unilateral and 3 cases of bilateral pleural effusion, 4 cases of hemorrhagic pleural effusion and 2 of non-hemorrhagic pleural effusion. All the 6 patients were diagnosed as non-Hodgkin's lymphoma. Conclusion Lymphoma has diverse clinical manifestations. Most of the lymphoma patients with pleural effusion are non-Hodgkin's lymphoma. Since the thoracoscopic findings are quite different and positive rate of thoracoscopic pleural biopsy is quite high, this procedure is irreplaceable for diagnosis.

【 授权许可】

Unknown