Gastropleural fistula derived from malignant lymphoma |
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| Authors: | Adachi Yasushi Sato Yoshiaki Yasui Hiroshi Nishimura Susumu Tanimura Akiko Yuasa Hiroo Ishi Yoshifumi Imai Kohzoh Kato Yasuo |
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| Affiliation: | (1) Department of Internal Medicine, Sapporo Shirakabadai Hospital, 2-18 Tsukisamu Higashi, Toyohira-ku, Sapporo 062-0052, Japan, JP;(2) Department of Pathology, Sapporo Shirakabadai Hospital, Sapporo, Japan, JP;(3) First Department of Internal Medicine, Sapporo Medical University, Sapporo, Japan, JP |
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| Abstract: | ![]()
An 88-year-old man developed pneumothorax and pleural effusion. After the finding of ingesta in the pleural effusion, a gastropleural fistula was diagnosed. A biopsy specimen of the stomach revealed non-Hodgkin lymphoma, diffuse large-cell, B-cell type. Autopsy examination demonstrated that the malignant lymphoma had originated from high-grade gastric mucosa-associated lymphoid tissue (MALT) lymphoma. Gastropleural fistula is an uncommon condition, as the diaphragm forms a thick barrier between the stomach and the thoracic cavity. We review 25 reported cases of gastropleural fistula found in a MEDLINE search from 1966 to 2000. In only 3 of the 25 patients was malignant lymphoma reported to have caused the gastropleural fistula. Received: June 15, 2001 / Accepted: October 5, 2001 |
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| Keywords: | : gastropleural fistula malignant lymphoma MALToma review |
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