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The Korean Journal of Medicine 2008;74(4): 441-444.
증례 : 원발성 흉막삼출성 림프종 1예
백관미, 김상위, 이상도, 김윤지, 서철원, 김동관, 송동은
A case of primary effusion lymphoma
Kwan Mi Pack, Sang-We Kim, Sang Do Lee, Yoon Ji Kim, Cheolwon Suh, Dong Kwan Kim, Dong Eun Song
경희대학교 의과대학 순환기내과학교실
ABSTRACT
A 78-year-old woman was referred to this hospital because of exertional dyspnea for 2 weeks. Although she was treated with anti-tuberculous medication under the assumption that she had tuberculous pleuritis, her dyspnea continued. Physical examination revealed diminished breath sounds over the left lung field. Chest radiography showed a large left pleural effusion. The pleural effusion revealed malignant cell‐dominant exudates with a high adenosine deaminase level. Serological tests were negative for HIV. Computed tomography scan of the chest and abdomen showed pleural effusion, but no mass or pathological lymph nodes were detected. The biopsy specimen of the pleura was diagnosed as malignant B‐cell lymphoma with plasmacytoid features, suggesting a possibility of primary effusion lymphoma. Polymerase chain reaction assay of tumor was positive for HHV-8 DNA. She underwent pleurodesis during Video-Assisted Thoracic Surgery, and her dyspnea subsequently improved.
Keywords: Primary effusion lymphoma; Adenosine deaminase
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