Revista médica de Chile
versión impresa ISSN 0034-9887
YOUNG, Pablo et al. Thoracoabdominal periaortic lymphoma mimicking acule aortic syndrome. Report of one case. Rev. méd. Chile [online]. 2009, vol.137, n.3, pp. 390-393. ISSN 0034-9887. doi: 10.4067/S0034-98872009000300010.
Systemic lymphoma that involves the aorta is called periaortic lymphoma, and may be misdiagnosed clinically or in CT sean, mimicking a thoracic aortic aneurysm, dissection, penetrating ulcer or an intramural hematoma. We report a 70 year-old woman in whom a systemic non-Hodgkin 's lymphoma ivas diagnosed after she presented with the clinical features of an acute aortic syndrome. A CT sean showed the presence of a large thoracoabdominal periaortic soft tissue mass without aneurism or dissection. Later, a biopsy of the mass ivasperformed which showed a non-Hodgkin's lymphoma. Chemotherapy with CHOP-R was effective, with complete initial resolution of the mass, developing in the follow up chylothorax, malnutrition and death.
Palabras clave : Antineoplasticprotocols; Aortic diseases; Lymphoma, non-Hodgkin.