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Abstract

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Article in Japanese

Case Report

A case of adult lymphoblastic leukemia/lymphoma diagnosed by pleural biopsy following pleural effusion

Haruka Sofukua  Katsuaki Asakawaa  Yuichi Tsutsuia  Kazutaka Yoshizawaa  Masaki Teradaa  Ayako Nanbab 

aDepartment of Respiratory Medicine, Saiseikai Niigata Hospital
bDepartment of Hematology, Saiseikai Niigata Hospital

ABSTRACT

A 59-year-old woman was referred to our hospital for a right pleural effusion with shortness of breath and cough. Contrast-enhanced computed tomography (CT) showed thickening of the right pleura and soft tissue lesions extending into the spinal canal and around the descending aorta. Video-assisted thoracoscopic pleural biopsy revealed B-cell acute lymphoblastic leukemia/lymphoma. Remission induction therapy with a combination of vincristine, daunorubicin, cyclophosphamide, L-asparaginase, and prednisolone was started, and the pleural effusion and pleural lesions rapidly disappeared. This is a rare case of adult B-cell lymphoblastic leukemia/lymphoma in which pleural effusion led to its detection.

KEYWORDS

Lymphoblastic leukemia/lymphoma  Pleural effusion  Pleural biopsy 

Received 15 Jan 2021 / Accepted 16 Feb 2021

AJRS, 10(3): 299-303, 2021

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