Characterization of Artificial Pneumothorax-Unrelated Pyothorax-Associated Lymphoma

Pyothorax-associated lymphoma (PAL) is a rare disease developing from a long-term pleural cavity inflammation. Most reported PAL cases have a history of artificial pneumothorax. However, the clinical features of artificial pneumothorax-unrelated PAL remain largely unknown. Here, we reported two PAL...

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Veröffentlicht in:Journal of oncology 2021, Vol.2021, p.3869438-7
Hauptverfasser: Chen, Guang-Liang, Xia, Zu-Guang, Jin, Jia, Yu, Bao-Hua, Cao, Junning
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container_start_page 3869438
container_title Journal of oncology
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creator Chen, Guang-Liang
Xia, Zu-Guang
Jin, Jia
Yu, Bao-Hua
Cao, Junning
description Pyothorax-associated lymphoma (PAL) is a rare disease developing from a long-term pleural cavity inflammation. Most reported PAL cases have a history of artificial pneumothorax. However, the clinical features of artificial pneumothorax-unrelated PAL remain largely unknown. Here, we reported two PAL cases diagnosed from our center in the past ten years. One case developed from asymptomatic pyothorax after pneumonectomy with a latency of 28 years, while the other case showed a relatively short latency of one year. Then we reviewed the literature of artificial pneumothorax-unrelated PAL by searching PubMed and Google Scholar from 2007. In total, nine artificial pneumothorax-unrelated PAL cases were found, predominantly in old male with median age of 76 years (ranging from 51 to 88). Most cases were diagnosed with diffuse large B-cell lymphoma (DLBCL) (n = 8, 88.9%) and had evidence of Epstein-Barr virus (EBV) infection (n = 6, 66.7%) or tuberculous pleurisy (n = 5, 55.6%). Notably, four cases (44.4%) had short intervals (no more than two years) between pleuritis and PAL. Regarding the overall survival, one-third cases survived more than 5 years after the diagnosis of PAL. In conclusion, the features of artificial pneumothorax-unrelated PAL are comparable with the classic type of PAL, except for some patients with short duration of pleuritis, and need to be identified. Treatment guideline of DLBCL is recommended for the management of PAL.
doi_str_mv 10.1155/2021/3869438
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Most reported PAL cases have a history of artificial pneumothorax. However, the clinical features of artificial pneumothorax-unrelated PAL remain largely unknown. Here, we reported two PAL cases diagnosed from our center in the past ten years. One case developed from asymptomatic pyothorax after pneumonectomy with a latency of 28 years, while the other case showed a relatively short latency of one year. Then we reviewed the literature of artificial pneumothorax-unrelated PAL by searching PubMed and Google Scholar from 2007. In total, nine artificial pneumothorax-unrelated PAL cases were found, predominantly in old male with median age of 76 years (ranging from 51 to 88). Most cases were diagnosed with diffuse large B-cell lymphoma (DLBCL) (n = 8, 88.9%) and had evidence of Epstein-Barr virus (EBV) infection (n = 6, 66.7%) or tuberculous pleurisy (n = 5, 55.6%). Notably, four cases (44.4%) had short intervals (no more than two years) between pleuritis and PAL. Regarding the overall survival, one-third cases survived more than 5 years after the diagnosis of PAL. In conclusion, the features of artificial pneumothorax-unrelated PAL are comparable with the classic type of PAL, except for some patients with short duration of pleuritis, and need to be identified. Treatment guideline of DLBCL is recommended for the management of PAL.</description><identifier>ISSN: 1687-8450</identifier><identifier>EISSN: 1687-8450</identifier><identifier>DOI: 10.1155/2021/3869438</identifier><identifier>PMID: 33564306</identifier><language>eng</language><publisher>Egypt: Hindawi</publisher><subject>Age ; Biopsy ; Chemotherapy ; Development and progression ; Epstein-Barr virus ; Health aspects ; Infections ; Lymphoma ; Medical records ; Non-Hodgkin's lymphomas ; Pathology ; Pneumonectomy ; Pneumothorax ; Radiation therapy ; Rare diseases ; Tuberculosis ; Vincristine</subject><ispartof>Journal of oncology, 2021, Vol.2021, p.3869438-7</ispartof><rights>Copyright © 2021 Guang-Liang Chen et al.</rights><rights>COPYRIGHT 2021 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2021 Guang-Liang Chen et al. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2021 Guang-Liang Chen et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-5664e0039c673999a70d25e700ab1f5a42c0424b3198fa4e23f61874d2c58a893</citedby><cites>FETCH-LOGICAL-c504t-5664e0039c673999a70d25e700ab1f5a42c0424b3198fa4e23f61874d2c58a893</cites><orcidid>0000-0002-3146-9413 ; 0000-0002-3231-3576</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850845/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7850845/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33564306$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Radfar, Amir</contributor><contributor>Amir Radfar</contributor><creatorcontrib>Chen, Guang-Liang</creatorcontrib><creatorcontrib>Xia, Zu-Guang</creatorcontrib><creatorcontrib>Jin, Jia</creatorcontrib><creatorcontrib>Yu, Bao-Hua</creatorcontrib><creatorcontrib>Cao, Junning</creatorcontrib><title>Characterization of Artificial Pneumothorax-Unrelated Pyothorax-Associated Lymphoma</title><title>Journal of oncology</title><addtitle>J Oncol</addtitle><description>Pyothorax-associated lymphoma (PAL) is a rare disease developing from a long-term pleural cavity inflammation. Most reported PAL cases have a history of artificial pneumothorax. However, the clinical features of artificial pneumothorax-unrelated PAL remain largely unknown. Here, we reported two PAL cases diagnosed from our center in the past ten years. One case developed from asymptomatic pyothorax after pneumonectomy with a latency of 28 years, while the other case showed a relatively short latency of one year. Then we reviewed the literature of artificial pneumothorax-unrelated PAL by searching PubMed and Google Scholar from 2007. In total, nine artificial pneumothorax-unrelated PAL cases were found, predominantly in old male with median age of 76 years (ranging from 51 to 88). Most cases were diagnosed with diffuse large B-cell lymphoma (DLBCL) (n = 8, 88.9%) and had evidence of Epstein-Barr virus (EBV) infection (n = 6, 66.7%) or tuberculous pleurisy (n = 5, 55.6%). Notably, four cases (44.4%) had short intervals (no more than two years) between pleuritis and PAL. Regarding the overall survival, one-third cases survived more than 5 years after the diagnosis of PAL. In conclusion, the features of artificial pneumothorax-unrelated PAL are comparable with the classic type of PAL, except for some patients with short duration of pleuritis, and need to be identified. 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Most reported PAL cases have a history of artificial pneumothorax. However, the clinical features of artificial pneumothorax-unrelated PAL remain largely unknown. Here, we reported two PAL cases diagnosed from our center in the past ten years. One case developed from asymptomatic pyothorax after pneumonectomy with a latency of 28 years, while the other case showed a relatively short latency of one year. Then we reviewed the literature of artificial pneumothorax-unrelated PAL by searching PubMed and Google Scholar from 2007. In total, nine artificial pneumothorax-unrelated PAL cases were found, predominantly in old male with median age of 76 years (ranging from 51 to 88). Most cases were diagnosed with diffuse large B-cell lymphoma (DLBCL) (n = 8, 88.9%) and had evidence of Epstein-Barr virus (EBV) infection (n = 6, 66.7%) or tuberculous pleurisy (n = 5, 55.6%). Notably, four cases (44.4%) had short intervals (no more than two years) between pleuritis and PAL. Regarding the overall survival, one-third cases survived more than 5 years after the diagnosis of PAL. In conclusion, the features of artificial pneumothorax-unrelated PAL are comparable with the classic type of PAL, except for some patients with short duration of pleuritis, and need to be identified. Treatment guideline of DLBCL is recommended for the management of PAL.</abstract><cop>Egypt</cop><pub>Hindawi</pub><pmid>33564306</pmid><doi>10.1155/2021/3869438</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3146-9413</orcidid><orcidid>https://orcid.org/0000-0002-3231-3576</orcidid><oa>free_for_read</oa></addata></record>
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subjects Age
Biopsy
Chemotherapy
Development and progression
Epstein-Barr virus
Health aspects
Infections
Lymphoma
Medical records
Non-Hodgkin's lymphomas
Pathology
Pneumonectomy
Pneumothorax
Radiation therapy
Rare diseases
Tuberculosis
Vincristine
title Characterization of Artificial Pneumothorax-Unrelated Pyothorax-Associated Lymphoma
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