Successful Treatment of Chylothorax and Chylopericardium by Radiotherapy in Lung Cancer

被引：3

作者：

Shintani, Ryota ^{[1
,2
]}

Sekine, Akimasa ^{[2
]}

Murohashi, Kota ^{[2
]}

Otoshi, Ryota ^{[2
]}

Kasuya, Takeo ^{[3
]}

Oda, Tsuneyuki ^{[2
]}

Baba, Tomohisa ^{[2
]}

Komatsu, Shigeru ^{[2
]}

Ogura, Takashi ^{[2
]}

Inoue, Yoshikazu ^{[4
]}

机构：

[1] Natl Hosp Org Kinki Chuo Chest Med Ctr, Dept Resp Med, Sakai, Osaka, Japan

[2] Kanagawa Cardiovasc & Resp Ctr, Dept Resp Med, Yokohama, Kanagawa, Japan

[3] Kanagawa Cardiovasc & Resp Ctr, Dept Radiol, Yokohama, Kanagawa, Japan

[4] Natl Hosp Org Kinki Chuo Chest Med Ctr, Clin Res Ctr, Sakai, Osaka, Japan

来源：

INTERNAL MEDICINE | 2022年 / 61卷 / 13期

关键词：

chylothorax; chylopericardium; lung cancer; radiotherapy; COMPLICATION;

D O I：

10.2169/internalmedicine.8293-21

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 58-year-old man was diagnosed with stage IVB lung adenocarcinoma in the right upper lobe and underwent systemic chemotherapy. Seven months after the diagnosis, large left pleural and pericardial effusion was detected. The patient developed both chylothorax and chylopericardium following superior vena cava (SVC) obstruction with mediastinal lymphadenopathy caused by lung carcinoma. Since conservative treatment of the chyle leakage was ineffective, we administered radiotherapy to treat the SVC obstruction and mediastinal lymphadenopathy. After radiotherapy, the chylothorax and chylopericardium gradually resolved, and no further chyle leaks were identified on follow-up computed tomography. This case indicates that radiotherapy can be used to ameliorate lung cancer-related chylothorax and chylopericardium.

引用

页码：2039 / 2043

页数：5

共 50 条

[21] Chylothorax and chylopericardium: A complication of a central venous catheter
Kurekci, E
Kaye, R
Koehler, M
JOURNAL OF PEDIATRICS, 1998, 132 (06): : 1064 - 1066
[22] Successful Treatment of Neonatal Chylothorax with Octreotide
Khatami, Seyedeh Fatemeh
Parvaresh, Pouya
INDIAN JOURNAL OF PEDIATRICS, 2011, 78 (11): : 1412 - 1414
[23] Successful Treatment of Neonatal Chylothorax with Octreotide
Seyedeh Fatemeh Khatami
Pouya Parvaresh
The Indian Journal of Pediatrics, 2011, 78 : 1412 - 1414
[24] Treatment Strategy for Postoperative Chylothorax after Lung Cancer Surgery
Maeda, C.
JOURNAL OF THORACIC ONCOLOGY, 2021, 16 (03) : S251 - S251
[25] Chylopericardium following right thoracotomy for lung cancer
Mizushima, Y
Yoshida, Y
Inoue, A
Sugiyama, S
Hamazaki, T
Kobayashi, M
TUMORI, 1996, 82 (03) : 264 - 265
[26] CHYLOTHORAX, SPLENIC LYMPHANGIOMATOSIS, AND CONSUMPTIVE COAGULOPATHY AFTER SURGICAL-TREATMENT OF PRIMARY CHYLOPERICARDIUM
HARADA, K
ITO, T
SHIOTA, T
TAMURA, M
TAMURA, H
YOSHINO, H
HEBIGUCHI, T
KATO, T
OKADA, K
TAKADA, G
AMERICAN HEART JOURNAL, 1994, 127 (06) : 1633 - 1635
[27] Proton radiotherapy in the treatment of lung cancer
Skinner, Heath Devin
Komaki, Ritsuko
TRANSLATIONAL CANCER RESEARCH, 2012, 1 (04) : 264 - 270
[28] Chylothorax and Chylopericardium as Initial Presentation of Thymoma: A Case Report
Cuerdo, A. S.
Tamayo, E.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2021, 203 (09)
[29] CONSERVATIVE MANAGEMENT OF IDIOPATHIC CHYLOTHORAX AND CHYLOPERICARDIUM IN A PRETERM NEONATE
Polic, Branka
Mestrovic, Julije
Markic, Josko
Stricevic, Luka
Juric, Ivo
Radonic, Marija
PAEDIATRIA CROATICA, 2010, 54 (04) : 205 - 207
[30] A novel therapeutic strategy for the management of idiopathic chylopericardium and chylothorax
Scholten, C
Staudacher, M
Girsh, W
Wolf, G
Grimm, M
Binder, T
Lang, I
Stefenelli, T
SURGERY, 1998, 123 (03) : 369 - 370

← 1 2 3 4 5 →