Hodgkin’s disease presenting as a parasternal chest wall mass

A 53 year-old Moroccan woman presented with a tender parasternal mass. Computerized tomography showed a mediastinal mass protruding through the sternum. Cytologic examination of fluid collected from the mass repeatedly showed acute inflammation. Tuberculostatics were started. Since patient did not i...

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Veröffentlicht in:Netherlands journal of medicine 1999-06, Vol.54 (6), p.239-241
Hauptverfasser: Stolk, Mark F.J, van der Lee, Ivo, Biesma, Douwe H, Geers, Tom A.B, Seldenrijk, Cornelis A
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container_end_page 241
container_issue 6
container_start_page 239
container_title Netherlands journal of medicine
container_volume 54
creator Stolk, Mark F.J
van der Lee, Ivo
Biesma, Douwe H
Geers, Tom A.B
Seldenrijk, Cornelis A
description A 53 year-old Moroccan woman presented with a tender parasternal mass. Computerized tomography showed a mediastinal mass protruding through the sternum. Cytologic examination of fluid collected from the mass repeatedly showed acute inflammation. Tuberculostatics were started. Since patient did not improve on tuberculostatics, a small supraclavicular lymph node was removed. Histologic examination showed Morbus Hodgkin of the nodular sclerosing type. Ultimately, cytologic examination of fluid from the parasternal mass showed atypical cells. Response on chemotherapy was excellent with complete disappearance of the parasternal mass. This is a very unusual extranodal presentation of Hodgkin’s disease.
doi_str_mv 10.1016/S0300-2977(99)00013-3
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subjects Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Biopsy
Chest wall mass
Diagnosis, Differential
Female
Hodgkin Disease - diagnosis
Hodgkin Disease - therapy
Hodgkin’s disease
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lymph Nodes - pathology
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - therapy
Medical sciences
Middle Aged
Osteoarticular system. Muscles
Radiodiagnosis. Nmr imagery. Nmr spectrometry
Treatment Outcome
Tuberculosis
Tuberculosis, Lymph Node - diagnosis
title Hodgkin’s disease presenting as a parasternal chest wall mass
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