Affiliation:
1. Junior Resident, Dept. of Pulmonary Medicine, VIMSAR, Burla, Odisha
2. Associate Professor & HOD, Dept. of Pulmonary Medicine, VIMSAR, Burla, Odisha.
3. Assistant Professor, Dept. of Pulmonary Medicine, VIMSAR, Burla
Abstract
Non-Hodgkin lymphoma is a lymphoproliferative disorder usually affecting lymphoid organs. 20% patients with non-Hodgkin lymphoma may
present with pleural effusion but pericardial involvement is rare. Pleural & pericardial effusion in lymphoma are usually due to direct seeding of
malignant cells or by obstruction to the lymphatic drainage of pleura & pericardium. We report a case of non-Hodgkin lymphoma presenting as
recurrent pleuro-pericardial effusion. A middle aged male with chief complaints of progressive dyspnea, palpitation & generalized pufness for
past 2 months was found to have bilateral pleural effusion, pericardial effusion, ascites & generalized lymphadenopathy. Right supraclavicular
lymph was node was evaluated using FNAC & excisional biopsy. Pleural & pericardial uids were analyzed. He was diagnosed as Non-Hodgkin
lymphoma and started with Rituximab, Prednisolone, Cyclophosphamide, Vincristine & Doxorubicin. Patient improved on subsequent follow up
Subject
General Physics and Astronomy,General Materials Science,General Chemistry,General Medicine,Complementary and alternative medicine,General Medicine,General Medicine,General Medicine,Applied Psychology,Experimental and Cognitive Psychology,Anesthesiology and Pain Medicine,Space and Planetary Science,Astronomy and Astrophysics,Ecology, Evolution, Behavior and Systematics