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Ann Thorac Surg 2005;80:1515-1517
© 2005 The Society of Thoracic Surgeons

Case report

Primary Extramedullary Hematopoiesis Manifesting As Massive Bilateral Chylothorax

Arup K. Ghosh, MS, FRCS a , Joya Pawade, MD b , Graham R. Standen, FRCP c , Loïc Lang-Lazdunski, MD, PhD a , *

a Department of Thoracic Surgery, Bristol, United Kingdom
b Department of Pathology, Bristol, United Kingdom
c Department of Hematology, Bristol Royal Infirmary, Bristol, United Kingdom

Accepted for publication March 30, 2004.

* Address reprint requests to Dr Lang-Lazdunski, Department of Cardiothoracic Surgery, Guy's Hospital, St. Thomas St, London SE1 9RT, UK (Email: loic.lang-lazdunski{at}gstt.nhs.uk).

Intrathoracic extramedullary hematopoiesis is a rare entity, mostly observed in patients with hematologic disorders. Extramedullary hematopoiesis is usually asymptomatic and is often located in the lower paravertebral sulci and rarely in the pleura. We report the case of a 54-year-old man without hematologic disorder or pleural malignancy who had a massive bilateral chylothorax develop due to primary pleural extramedullary hematopoiesis. He was successfully treated by bilateral video thoracoscopic talc pleurodesis and low-dose radiotherapy.




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 Ann. Thorac. Surg.Home page
M. Santini, A. Fiorelli, G. Vicidomini, and F. Napolitano
Intrathoracic extramedullary haematopoiesis manifested as a neoplastic lesion within anterior mediastinum.
Ann. Thorac. Surg., December 1, 2009; 88(6): 2001 - 2004.
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