Diffuse Large B-cell Lymphoma Complicated with Tuberculous Pleurisy Diagnosed by Medical Thoracoscopy

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Yuri Baba Yugo Kaneko Ikumi Fujisaki Hironori Kawamoto Hirofumi Yamauchi Kai Ryu Nayuta Saito Sho Watanabe Tsugumi Horikiri Aya Seki Akira Kinoshita Hiroshi Takeda Keisuke Saito Kzuyoshi Kuwano Yutaka Yoshii

Abstract

An 80-year-old man was admitted withright pleural effusion and bilateral axillary lymph node enlargement. Histopathological examination of the axillary lymph node biopsy specimen showed diffuse large B-cell lymphoma (DLBCL). The pleural effusion was exudative and predominantly lymphocytic, and cytology of the effusion was compatible with malignant lymphoma. Although acid-fast bacillus smear and polymerase chain reaction analysis of the pleural effusion were negative, pleural adenosine deaminase (P-ADA) was high (79.2 IU/L). We suspected tuberculous pleurisy and performed thoracoscopy. We diagnosed DLBCL with tuberculous pleurisy and started tuberculosis treatment. When P-ADA is high, thoracoscopy should be performed to explore tuberculous pleurisy.

Article Details

How to Cite
BABA, Yuri et al. Diffuse Large B-cell Lymphoma Complicated with Tuberculous Pleurisy Diagnosed by Medical Thoracoscopy. Medical Research Archives, [S.l.], v. 5, n. 6, june 2017. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/1176>. Date accessed: 28 mar. 2024.
Keywords
diffuse large B-cell lymphoma,tuberculous pleurisy,adenosine deaminase, thoracoscopy
Section
Case Reports

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