thoracentesis;
green pleural effusion;
lymphadenopathy;
pleural effusion;
lymphoma;
DIAGNOSIS;
D O I:
10.7759/cureus.67668
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
A 35-year-old man presented with fever, drenching sweats, severe shoulder pain, and bilateral cervical and supraclavicular lymphadenopathy on physical exam. Computed tomography of the chest showed hilar, mediastinal, and supraclavicular adenopathy, multiple pulmonary nodules, and a left-sided pleural effusion. Thoracentesis revealed a green pleural effusion. After a systematic workup and core biopsy analysis of a supraclavicular lymph node, the patient was diagnosed with Hodgkin lymphoma. The green pleural effusion fluid was attributed to increased pleural fluid viscosity rarely seen in patients with lymphoma.
机构:
Inst Portugues Oncol Porto Francisco Gentil, Dept Med Oncol, Oporto, PortugalInst Portugues Oncol Porto Francisco Gentil, Dept Med Oncol, Oporto, Portugal
Faustino, I.
Viterbo, L.
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h-index: 0
机构:
Inst Portugues Oncol Porto Francisco Gentil, Dept Haematooncol, Oporto, PortugalInst Portugues Oncol Porto Francisco Gentil, Dept Med Oncol, Oporto, Portugal
Viterbo, L.
Rodrigues, A.
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机构:
Inst Portugues Oncol Porto Francisco Gentil, Dept Med Oncol, Oporto, PortugalInst Portugues Oncol Porto Francisco Gentil, Dept Med Oncol, Oporto, Portugal
Rodrigues, A.
Oliveira, A.
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h-index: 0
机构:
Inst Portugues Oncol Porto Francisco Gentil, Dept Radiotherapy, Oporto, PortugalInst Portugues Oncol Porto Francisco Gentil, Dept Med Oncol, Oporto, Portugal
Oliveira, A.
Mariz, J. M.
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机构:
Inst Portugues Oncol Porto Francisco Gentil, Dept Haematooncol, Oporto, PortugalInst Portugues Oncol Porto Francisco Gentil, Dept Med Oncol, Oporto, Portugal
机构:
Natl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Kito, Momoko
Munakata, Wataru
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机构:
Natl Canc Ctr, Dept Hematol, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Munakata, Wataru
Ono, Kouji
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h-index: 0
机构:
Natl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Ono, Kouji
Maeshima, Akiko Miyagi
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机构:
Natl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
Maeshima, Akiko Miyagi
Matsushita, Hiromichi
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h-index: 0
机构:
Natl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, JapanNatl Canc Ctr, Div Pathol & Clin Labs, Chuo Ku, 5-1-1 Tsukiji, Tokyo 1040045, Japan
机构:
So Illinois Univ, Dept Pediat, Springfield, IL USA
Univ Illinois, Pediat Hematol Oncol, Chicago, IL USASo Illinois Univ, Dept Pediat, Springfield, IL USA
Bhatt, Nidhi
Brandt, Gregory
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机构:
So Illinois Univ, Pediat Hematol Oncol, Springfield, IL USASo Illinois Univ, Dept Pediat, Springfield, IL USA
Brandt, Gregory
Niebrugge, Daniel
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机构:
So Illinois Univ, Pediat Hematol Oncol, Springfield, IL USASo Illinois Univ, Dept Pediat, Springfield, IL USA
Niebrugge, Daniel
Khan, Aziz U.
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h-index: 0
机构:
SIU Sch Med, Springfield, IL USASo Illinois Univ, Dept Pediat, Springfield, IL USA