Abstract | RATIONALE: PATIENT CONCERNS: The patient, a 76-year-old male, was reported to our hospital on March 13, 2015. He had recurrent shortness of breath during the previous 2 years of routine activities solely. His symptoms became more serious which was manifested by edema of lower limbs 1 day before his admission to our hospital. DIAGNOSES: Doctors reached the diagnosis of PAL based on the patient's pathologic cell morphology and immunohistochemistry. The chest computed tomography examination revealed that there were pleural effusions on both sides, and some extent of compressive atelectasis in the lower parts of the inflamed lungs yet without space-occupying lesions. There were multiple small nodules which may be benign in the right upper lung. INTERVENTIONS: OUTCOMES: The treatment effect was obvious after one cycle of chemotherapy. The patient's pleural and pericardial effusions were significantly reduced. With the chemotherapy protocol above continuously adopted, pleural and pericardial effusions did not increase in multiple reexaminations on October 25, 2015, February 15, 2016, and August 10, 2016. LESSONS:
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Authors | Fei Wang, Hai Lan |
Journal | Medicine
(Medicine (Baltimore))
Vol. 98
Issue 50
Pg. e18393
(Dec 2019)
ISSN: 1536-5964 [Electronic] United States |
PMID | 31852157
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Antineoplastic Agents, Immunological
- Rituximab
|
Topics |
- Aged
- Antineoplastic Agents, Immunological
(therapeutic use)
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Empyema, Pleural
(etiology)
- Humans
- Lymphoma, Large B-Cell, Diffuse
(diagnosis, drug therapy)
- Male
- Pleural Neoplasms
(diagnosis, drug therapy)
- Rituximab
(therapeutic use)
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