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Successful treatment of an aggressive non-Hodgkin's lymphoma associated with acute respiratory insufficiency using extracorporeal membrane oxygenation

^a Department of Cardiothoracic Surgery, Friedrich Schiller University, Jena, Germany
^b Departments of Anaesthesiology and Intensive Medicine, Friedrich Schiller University, Jena, Germany
^c Department of Internal Medicine II (Oncology/Hematology), Friedrich Schiller University, Jena, Germany

*Corresponding author. Erlanger Allee 101, 07740 Jena, Germany. Tel.: +49/3641/9322901; fax: +49/3641/9322902.

E-mail address: Anas.Aboud{at}med.uni-jena.de (A. Aboud).

Non-Hodgkin's lymphoma initially presenting as a solid huge mediastinal mass does not frequently occur. Although nowadays many patients with high-grade (aggressive) malignant lymphoma can be cured using a combination of immuno- and chemotherapy, rapid progression and acute complications caused by the tumor mass itself may necessitate additional invasive treatment. We report a case of successful extracorporeal membrane oxygenation treatment in a 43-year-old woman with acute respiratory insufficiency due to a huge mediastinal non-Hodgkin's tumor.

Key Words: Aggressive non-Hodgkin's lymphoma; Extracorporeal membrane oxygenation (ECMO); Immunochemotherapy