Volume 2014, Issue 1 804917

Case Report

Open Access

Successful Use of Extracorporeal Membrane Oxygenation for Respiratory Failure Caused by Mediastinal Precursor T Lymphoblastic Lymphoma

Corresponding Author

Masafumi Oto

[email protected]

Department of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Kyoko Inadomi,

Kyoko Inadomi

Department of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Toshiyuki Chosa,

Toshiyuki Chosa

Department of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Shima Uneda,

Shima Uneda

Department of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Soichi Uekihara,

Soichi Uekihara

Department of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Minoru Yoshida,

Minoru Yoshida

Department of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Masafumi Oto,

Corresponding Author

Masafumi Oto

[email protected]

Department of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Kyoko Inadomi,

Kyoko Inadomi

Department of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Toshiyuki Chosa,

Toshiyuki Chosa

Department of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Shima Uneda,

Shima Uneda

Department of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Soichi Uekihara,

Soichi Uekihara

Department of General Internal Medicine, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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Minoru Yoshida,

Minoru Yoshida

Department of Hematology and Medical Oncology, Japanese Red Cross Kumamoto Hospital, 2-1-1 Nagamine-minami, Higashi-Ku, Kumamoto 861-8520, Japan

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First published: 17 December 2014

https://doi.org/10.1155/2014/804917

Citations: 12

Academic Editor: Gottfried J. Locker

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Abstract

Precursor T lymphoblastic lymphoma (T-LBL) often manifests as a mediastinal mass sometimes compressing vital structures like vessels or large airways. This case was a 40-year-old male who developed T-LBL presenting as respiratory failure caused by mediastinal T-LBL. He presented with persistent life threatening hypoxia despite tracheal intubation. We successfully managed this respiratory failure using venovenous (VV) ECMO. Induction chemotherapy was started after stabilizing oxygenation and the mediastinal lesion shrank rapidly. Respiratory failure caused by compression of the central airway by tumor is an oncologic emergency. VV ECMO may be an effective way to manage this type of respiratory failure as a bridge to chemotherapy.

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