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Case Reports in Hematology
Volume 2013 (2013), Article ID 857610, 4 pages
http://dx.doi.org/10.1155/2013/857610
Case Report

Bilateral Pleural Effusion in a Patient with an Extensive Extramedullary Hematopoietic Mass

Department of Hematology, Second Affiliated Hospital, Chongqing Medical University, No. 76, Linjiang Road, Chongqing 400010, China

Received 19 May 2013; Accepted 16 July 2013

Academic Editors: G. Damaj and U. Dasgupta

Copyright © 2013 Yun Luo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We present a 56-year-old woman with bilateral pleural effusions, widespread enlarged lymph nodes, and soft tissue masses located within the renal pelvis. The initially working diagnosis was tuberculosis and lymphoma. Further pathological examination of the lymph node biopsy confirmed a diagnosis of extramedullary hematopoiesis, and a bone marrow biopsy revealed myelofibrosis. Unlike common treatment options such as radiotherapy and/or surgery, intrathoracic cisplatin and dexamethasone for the treatment of pleural effusions secondary to extramedullary hematopoiesis demonstrated an improvement in feasibility and efficacy in the present case.