Bilateral chylothorax due to retrosternal goiter in a patient with non-Hodgkin's lymphoma

Chylous pleural effusion, or chylothorax, usually results from obstruction to or disruption of the thoracic duct. Malignant etiologies are the most common cause of chylothorax, lymphoma accounting for the majority of non-traumatic chylous effusions. We report an unusual case of bilateral chylothorax...

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Veröffentlicht in:	Medical oncology (Northwood, London, England) London, England), 2001-01, Vol.18 (2), p.153-158
Hauptverfasser:	Simmgen, M, Newlands, E S, Southcott, B M, Vigushin, D M
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Chylothorax - etiology Chylothorax - pathology Female Goiter, Nodular - complications Goiter, Nodular - etiology Humans Iodine Radioisotopes - therapeutic use Lymphoma, Non-Hodgkin - complications Oncology Pleural Effusion - etiology Sternum - pathology Treatment Outcome
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Beschreibung
Zusammenfassung:	Chylous pleural effusion, or chylothorax, usually results from obstruction to or disruption of the thoracic duct. Malignant etiologies are the most common cause of chylothorax, lymphoma accounting for the majority of non-traumatic chylous effusions. We report an unusual case of bilateral chylothorax associated with a retrosternal toxic multinodular goiter in a patient with non-Hodgkin's lymphoma. An ablative dose of 131I was administered with apparent initial clinical improvement. The pathogenesis of chylothorax and therapeutic considerations are discussed.
ISSN:	1357-0560 1357-0560 1559-131X
DOI:	10.1385/MO:18:2:153