BibTex RIS Cite

A case of non-Hodgkin's lymphoma presenting as a large chest wall mass

Year 2008, Volume: 23 Issue: 4, 196 - 199, 01.05.2008

Abstract

Malignant lymphoma as a solitary chest wall mass is rare. Although surgical resection is the main treatment modality for malignant chest wall tumors, the treatment of primary chest wall lymphomas is controversial. A 65-year-old male patient with an enlarging mass on the left side of his chest wall, which had first appeared four months before, applied to our hospital. The patient was directed to our polyclinic with a diagnosis of l a rge B-cell lymphoma after the biopsy. Following the clinical investigation, stage IIEB extranodal non-Hodgkin's lymphoma was determined, and after a palliative radiotherapy, eight cycles of chemotherapy were planned. However, shortly after the completion of the sixth cycle of chemotherapy, poor performance status developed secondary to chemotherapy and the patient was diagnosed with pulmonary embolus. Following the stop of chemotherapy after six cycles, a complete clinical remission and a nearly complete radiologic remission were achieved. The patient is still under follow-up and was free of disease at four months.

References

  • 1. Athanassiadi K, Kalavrouziotis G, Rondogianni D, Loutsidis A, Hatzimichalis A, Bellenis I. Primary chest wall tumors: early and long-term results of surgical treatment. Eur J Cardiothorac Surg 2001;19(5):589-93.
  • 2. Warzelhan J, Stoelben E, Imdahl A, Hasse J. Results in surgery for primary and metastatic chest wall tumors. Eur J Cardiothorac Surg 2001;19(5):584-8.
  • 3. Pairolero PC, Arnold PG. Chest wall tumors. Experience with 100 consecutive patients. J Thorac Cardiovasc Surg 1985;90(3):367-72.
  • 4. Hsu PK, Hsu HS, Lee HC, Hsieh CC, Wu YC, Wang LS, et al. Management of primary chest wall tumors: 14 years’ clinical experience. J Chin Med Assoc 2006;69(8):377-82.
  • 5. Faries PL, D’Ayala M, Santos GH. Primary immunoblastic B-cell lymphoma of the sternum. J Thorac Cardiovasc Surg 1997;114(4):684-5.
  • 6. Press GA, Glazer HS, Wasserman TH, Aronberg DJ, Lee JK, Sagel SS. Thoracic wall involvement by Hodgkin disease and non-Hodgkin lymphoma: CT evaluation. Radiology 1985;157(1):195-8.
  • 7. Tori M, Fujii Y, Minami M, Ohsawa M, Aozasa K, Matsuda H. Hodgkin’s disease of the chest wall: report of a case. Surg Today 1998;28(8):853-6.
  • 8. Hirai S, Hamanaka Y, Mitsui N, Morifuji K, Sutoh M. Primary malignant lymphoma arising in the pleura without preceding long-standing pyothorax. Ann Thorac Cardiovasc Surg 2004;10(5):297-300.
  • 9. Lones MA, Sanger W, Perkins SL, Medeiros LJ. Anaplastic large cell lymphoma arising in bone: report of a case of the monomorphic variant with the t(2;5)(p23;q35) translocation. Arch Pathol Lab Med 2000;124(9):1339-43.
  • 10. North LB, Libshitz HI, Lorigan JG. Thoracic lymphoma. Radiol Clin North Am 1990;28(4):745-62.
  • 11. Hsu PK, Hsu HS, Li AF, Wang LS, Huang BS, Huang MH, Hsu WH. Non-Hodgkin’s lymphoma presenting as a large chest wall mass. Ann Thorac Surg 2006;81(4):1214-8.
  • 12. Witte B, Hürtgen M. Lymphomas presenting as chest wall tumors. GMS Thorac Surg Sci 2006;3:Doc01.
  • 13. Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Yokoyama R, Tsuchiya R, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 2. Malignant tumors. Radiographics 2003;23(6):1491-508.

Göğüs duvarında büyük bir kitle şeklinde ortaya çıkan non-Hodgkin lenfoma olgusu

Year 2008, Volume: 23 Issue: 4, 196 - 199, 01.05.2008

Abstract

Göğüs duvarında izole kitle ile ortaya çıkan malign lenfoma olgularına nadir olarak rastlanmaktadır. Rezeksiyon göğüs duvarı malignitelerinde esas tedavi yöntemi olsa da primer göğüs duvarı lenfomalarının tedavisi tartışmalıdır. Altmış beş yaşındaki erkek hasta dört ay önce belirmeye başlayan ve gittikçe artan sol göğüs duvarındaki kitle nedeniyle hastanemize başvurdu. Hastanın yapılan biyopsisinde diffüz büyük B hücreli lenfoma (non-Hodgkin lenfoma) tanısı konularak polikliniğimize yönlendirildi. Klinik olarak evre IIEB kabul edilerek kısa süreli radyoterapi alan hastaya sekiz kür kemoterapi planlandı. Hastada altıncı kürden sonra kemoterapiye ikincil genel durum bozukluğu gelişti ve olası pulmoner emboli tanısı konuldu. Performans bozukluğu nedeniyle kemoterapisi kesilen hastada altı kür sonrasında yapılan değerlendirmede klinik tam yanıt ve radyolojik tama yakın yanıt alındı. Hasta dört aydır hastalıksız olarak takip edilmektedir.

References

  • 1. Athanassiadi K, Kalavrouziotis G, Rondogianni D, Loutsidis A, Hatzimichalis A, Bellenis I. Primary chest wall tumors: early and long-term results of surgical treatment. Eur J Cardiothorac Surg 2001;19(5):589-93.
  • 2. Warzelhan J, Stoelben E, Imdahl A, Hasse J. Results in surgery for primary and metastatic chest wall tumors. Eur J Cardiothorac Surg 2001;19(5):584-8.
  • 3. Pairolero PC, Arnold PG. Chest wall tumors. Experience with 100 consecutive patients. J Thorac Cardiovasc Surg 1985;90(3):367-72.
  • 4. Hsu PK, Hsu HS, Lee HC, Hsieh CC, Wu YC, Wang LS, et al. Management of primary chest wall tumors: 14 years’ clinical experience. J Chin Med Assoc 2006;69(8):377-82.
  • 5. Faries PL, D’Ayala M, Santos GH. Primary immunoblastic B-cell lymphoma of the sternum. J Thorac Cardiovasc Surg 1997;114(4):684-5.
  • 6. Press GA, Glazer HS, Wasserman TH, Aronberg DJ, Lee JK, Sagel SS. Thoracic wall involvement by Hodgkin disease and non-Hodgkin lymphoma: CT evaluation. Radiology 1985;157(1):195-8.
  • 7. Tori M, Fujii Y, Minami M, Ohsawa M, Aozasa K, Matsuda H. Hodgkin’s disease of the chest wall: report of a case. Surg Today 1998;28(8):853-6.
  • 8. Hirai S, Hamanaka Y, Mitsui N, Morifuji K, Sutoh M. Primary malignant lymphoma arising in the pleura without preceding long-standing pyothorax. Ann Thorac Cardiovasc Surg 2004;10(5):297-300.
  • 9. Lones MA, Sanger W, Perkins SL, Medeiros LJ. Anaplastic large cell lymphoma arising in bone: report of a case of the monomorphic variant with the t(2;5)(p23;q35) translocation. Arch Pathol Lab Med 2000;124(9):1339-43.
  • 10. North LB, Libshitz HI, Lorigan JG. Thoracic lymphoma. Radiol Clin North Am 1990;28(4):745-62.
  • 11. Hsu PK, Hsu HS, Li AF, Wang LS, Huang BS, Huang MH, Hsu WH. Non-Hodgkin’s lymphoma presenting as a large chest wall mass. Ann Thorac Surg 2006;81(4):1214-8.
  • 12. Witte B, Hürtgen M. Lymphomas presenting as chest wall tumors. GMS Thorac Surg Sci 2006;3:Doc01.
  • 13. Tateishi U, Gladish GW, Kusumoto M, Hasegawa T, Yokoyama R, Tsuchiya R, et al. Chest wall tumors: radiologic findings and pathologic correlation: part 2. Malignant tumors. Radiographics 2003;23(6):1491-508.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Sernaz Uzunoğlu This is me

Özgür Tanrıverdi This is me

Hakan Karagöl This is me

İrfan Çiçin This is me

Vuslat Çaloğlu This is me

Füsun Tokatlı This is me

Publication Date May 1, 2008
Published in Issue Year 2008 Volume: 23 Issue: 4

Cite

APA Uzunoğlu, S., Tanrıverdi, Ö., Karagöl, H., Çiçin, İ., et al. (2008). Göğüs duvarında büyük bir kitle şeklinde ortaya çıkan non-Hodgkin lenfoma olgusu. Türk Onkoloji Dergisi, 23(4), 196-199.
AMA Uzunoğlu S, Tanrıverdi Ö, Karagöl H, Çiçin İ, Çaloğlu V, Tokatlı F. Göğüs duvarında büyük bir kitle şeklinde ortaya çıkan non-Hodgkin lenfoma olgusu. Türk Onkoloji Dergisi. May 2008;23(4):196-199.
Chicago Uzunoğlu, Sernaz, Özgür Tanrıverdi, Hakan Karagöl, İrfan Çiçin, Vuslat Çaloğlu, and Füsun Tokatlı. “Göğüs duvarında büyük Bir Kitle şeklinde Ortaya çıkan Non-Hodgkin Lenfoma Olgusu”. Türk Onkoloji Dergisi 23, no. 4 (May 2008): 196-99.
EndNote Uzunoğlu S, Tanrıverdi Ö, Karagöl H, Çiçin İ, Çaloğlu V, Tokatlı F (May 1, 2008) Göğüs duvarında büyük bir kitle şeklinde ortaya çıkan non-Hodgkin lenfoma olgusu. Türk Onkoloji Dergisi 23 4 196–199.
IEEE S. Uzunoğlu, Ö. Tanrıverdi, H. Karagöl, İ. Çiçin, V. Çaloğlu, and F. Tokatlı, “Göğüs duvarında büyük bir kitle şeklinde ortaya çıkan non-Hodgkin lenfoma olgusu”, Türk Onkoloji Dergisi, vol. 23, no. 4, pp. 196–199, 2008.
ISNAD Uzunoğlu, Sernaz et al. “Göğüs duvarında büyük Bir Kitle şeklinde Ortaya çıkan Non-Hodgkin Lenfoma Olgusu”. Türk Onkoloji Dergisi 23/4 (May 2008), 196-199.
JAMA Uzunoğlu S, Tanrıverdi Ö, Karagöl H, Çiçin İ, Çaloğlu V, Tokatlı F. Göğüs duvarında büyük bir kitle şeklinde ortaya çıkan non-Hodgkin lenfoma olgusu. Türk Onkoloji Dergisi. 2008;23:196–199.
MLA Uzunoğlu, Sernaz et al. “Göğüs duvarında büyük Bir Kitle şeklinde Ortaya çıkan Non-Hodgkin Lenfoma Olgusu”. Türk Onkoloji Dergisi, vol. 23, no. 4, 2008, pp. 196-9.
Vancouver Uzunoğlu S, Tanrıverdi Ö, Karagöl H, Çiçin İ, Çaloğlu V, Tokatlı F. Göğüs duvarında büyük bir kitle şeklinde ortaya çıkan non-Hodgkin lenfoma olgusu. Türk Onkoloji Dergisi. 2008;23(4):196-9.