Chylothorax as the initial manifestation of malignant Hodgkin lymphoma

Academic Article


  • A 22 year-old man complaining of slight thoracic pain, was found to have a right pleural effusion in his chest X-ray. The pleural aspiration yielded chylous fluid and radiological examination and biopsy of a mediastinal mass led to the diagnosis of Hodgkin's disease of the nodular sclerosis type with supra- and radiologically infradiaphragmatic disease and a pathological fracture of the sternum. After complete initial aspiration of the pleural effusion the chylothorax did not recur following initiation of a combination chemotherapy, and a clear regression of the lymphoma was found after the first 3 cycles. This case provides an example of an oligosymptomatic, right sided chylothorax as the first manifestation of Hodgkin's disease in a young immuno-competent patient.
  • Authors

    Author List

  • Shalev A; Borer H; Reusser P; Perruchoud AP
  • Start Page

  • 690
  • End Page

  • 693
  • Volume

  • 87
  • Issue

  • 20