Lymphatic intervention in the management of chylothorax in FDG-PET/CT negative Hodgkin lymphoma.

IF 1.3
Sheragaru H Chandrashekhara, Roshni Anand, Ashu S Bhalla, Priyanka Naranje, Kapil Goyal, Deepam Pushpam
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Abstract

Abstract: Chylothorax is an infrequent nontraumatic cause of Hodgkin's lymphoma, and chylous pericardial effusion is a rare association. Only a few cases of unilateral chylothorax with chylous pericardial effusion in Positron emission tomography (PET)-negative Hodgkin's lymphoma are documented worldwide. Hence, we report a case of a 21-year-old female with Hodgkin's lymphoma on chemotherapy who presented with breathlessness and facial puffiness. MR lymphangiography revealed obstruction of the terminal part of the thoracic duct with chyloreflux in the left infraclavicular region. Management included both traditional medical and interventional approaches to disrupt the lymphatic network. Intranodal lymphangiography with lipiodol confirmed the MRI findings. Drain output is reduced as lymphangiography can be therapeutic.

FDG-PET/CT阴性霍奇金淋巴瘤乳糜胸的淋巴干预治疗。
乳糜胸是霍奇金淋巴瘤的一种罕见的非外伤性病因,乳糜心包积液是一种罕见的关联。在世界范围内,只有少数病例在正电子发射断层扫描(PET)阴性的霍奇金淋巴瘤中出现单侧乳糜胸伴乳糜心包积液。因此,我们报告一个21岁的女性霍奇金淋巴瘤的化疗谁表现为呼吸困难和面部浮肿。MR淋巴管造影显示胸导管末端梗阻,左侧锁骨下区乳糜反流。治疗包括传统的医疗和介入方法来破坏淋巴网络。结内淋巴管造影与脂醇证实了MRI的发现。由于淋巴管造影可用于治疗,排液量减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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