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Case Reports

A Surgical Case of Pyothorax-Associated Lymphoma of T-Cell Origin Arising From the Chest Wall in Chronic Empyema

^a Thoracic Surgery Unit, Second University of Naples, Naples, Italy
^b Department of Biochemistry, Section of Pathology, Second University of Naples, Naples, Italy

Accepted for publication November 24, 2008.

^_* Address correspondence to Dr Santini, Chirurgia Toracica–Seconda Università di Napoli, Piazza Miraglia, 2, Naples, I-80138, Italy (Email: mario.santini{at}unina2.it).

We report a surgical a case of pyothorax-associated lymphoma of T-cell origin arising from the chest wall and developing on pleural sequelae of therapeutic pneumothorax for pulmonary tuberculosis. The tumor was removed with resection of the fifth to eighth ribs. The chest wall defect repaired with a Marlex (Phillips Sumika Polypropylene Co, Houston, TX) prothesis. The histologic, immunohistochemical, and genotypic features were conclusive for a diagnosis of T-cell non-Hodgkin lymphoma. The patient received postoperative chemotherapy and is doing well after 15 months.