{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T02:35:41Z","timestamp":1791254141588,"version":"4.1.0"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,2,17]],"date-time":"2019-02-17T00:00:00Z","timestamp":1550361600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Oncological Medicine"],"published-print":{"date-parts":[[2019,2,17]]},"abstract":"<jats:p>We present the case of a 74-year-old Japanese woman who presented with dyspnea, a palpable right breast mass, and swollen right axillary lymph node. Imaging studies revealed bilateral pleural effusion and systemic lymph adenopathy and pleural fluid study showed high levels of triglycerides. A right inguinal lymph node biopsy disclosed malignant lymphoma cells that were human T-cell leukemia virus type 1 (HTLV-1) provirus DNA-positive, a condition endemic to patient\u2019s birthplace, by the Southern blot hybridization method. She was diagnosed as having adult T-cell leukemia\/lymphoma (ATL) with chylothorax. After commencing chemotherapy for ATL, her chylothorax disappeared and swollen lymph nodes reduced remarkably, indicating an association between the chylothorax and ATL. Bilateral chylothorax is a relatively rare condition associated with such nontraumatic causes as ATL. Clinicians should therefore bear chylothorax in mind when encountering patients with pleural effusion. A detailed medical history can also enable prompt diagnosis and appropriate treatment.<\/jats:p>","DOI":"10.1155\/2019\/8357893","type":"journal-article","created":{"date-parts":[[2019,2,17]],"date-time":"2019-02-17T18:31:53Z","timestamp":1550428313000},"page":"1-5","source":"Crossref","is-referenced-by-count":2,"title":["A Case of Adult T-Cell Leukemia\/Lymphoma Complicated with Bilateral Chylothorax"],"prefix":"10.1155","volume":"2019","author":[{"given":"Satoko","family":"Kako","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Matsumoto, Japan"},{"name":"Department of Respiratory Medicine, Shinonoi General Hospital, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6364-9654","authenticated-orcid":true,"given":"Satoru","family":"Joshita","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Matsumoto, Japan"},{"name":"Research Center for Next Generation Medicine, Shinshu University, Matsumoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akemi","family":"Matsuo","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, Shinonoi General Hospital, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Kawaguchi","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Pathology, Shinonoi General Hospital, Nagano, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeji","family":"Umemura","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Matsumoto, Japan"},{"name":"Research Center for Next Generation Medicine, Shinshu University, Matsumoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eiji","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Gastroenterology and Hepatology, Shinshu University School of Medicine, Matsumoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e31815d2634"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.4065\/80.7.867"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-018-6640-1"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-225715"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvscit.2018.03.010"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-018-0752-3"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2007.11.9958"},{"key":"8","year":"2018"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2016-01-643569"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/00042560-199600001-00002"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)60345-1"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003109"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.14131399"}],"container-title":["Case Reports in Oncological Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crionm\/2019\/8357893.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crionm\/2019\/8357893.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crionm\/2019\/8357893.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,2,17]],"date-time":"2019-02-17T18:31:54Z","timestamp":1550428314000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crionm\/2019\/8357893\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,17]]},"references-count":13,"alternative-id":["8357893","8357893"],"URL":"https:\/\/doi.org\/10.1155\/2019\/8357893","relation":{},"ISSN":["2090-6706","2090-6714"],"issn-type":[{"value":"2090-6706","type":"print"},{"value":"2090-6714","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,17]]}}}