Hodgkin lymphoma (pulmonary manifestations)

Changed by Yuranga Weerakkody, 6 Nov 2014

Updates to Article Attributes

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Pulmonary involvement is relatively rare with Hodgkin disease. It accounts for only 5 -12% at the time of diagnosis 1,4 and can be bilateral in  ≈4% of cases 4. It is relatively common with the nodular sclerosing sub type. 

Pulmonary involvement usually indicates stage IV disease. 

Radiographic spectrum

Peri bronchial infiltration may sometimes be seen 2.

This may manifest as direct extension from hilar nodes, or as small peripheral nodules, which may or may not be cavitating. Other patterns include masses, mass-like consolidation, or diffuse interstitial thickening. Lung involvement without mediastinal nodal involvement is extremely rare in primary disease. 

In recurrent disease pulmonary parenchymal involvement is more common, and may occur without nodal enlargement 4.

See also

  • -<p>Pulmonary involvement is relatively rare with <a href="/articles/hodgkin-lymphoma">Hodgkin disease</a>. It accounts for only 5 -12% at the time of diagnosis <sup>1,4</sup> and can be bilateral in  ≈4% of cases <sup>4</sup>. It is relatively common with the nodular sclerosing sub type. </p><p>Pulmonary involvement usually indicates <a href="/articles/hodgkins-lymphoma-staging">stage IV</a> disease. </p><h4><strong>Radiographic spectrum</strong></h4><p>Peri bronchial infiltration may sometimes be seen <sup>2</sup>.</p><p>This may manifest as direct extension from hilar nodes, or as small peripheral nodules, which may or may not be cavitating. Other patterns include masses, mass-like consolidation, or diffuse interstitial thickening. Lung involvement without mediastinal nodal involvement is extremely rare in primary disease. </p><p>In recurrent disease pulmonary parenchymal involvement is more common, and may occur without nodal enlargement <sup>4</sup>.</p><h4>See also</h4><ul><li><a href="/articles/pulmonary-lymphoma">pulmonary lymphoma</a></li></ul>
  • +<p>Pulmonary involvement is relatively rare with <a href="/articles/hodgkin-lymphoma">Hodgkin disease</a>. It accounts for only 5 -12% at the time of diagnosis <sup>1,4</sup> and can be bilateral in  ≈4% of cases <sup>4</sup>. It is relatively common with the nodular sclerosing sub type. </p><p>Pulmonary involvement usually indicates <a href="/articles/hodgkins-lymphoma-staging">stage IV</a> disease. </p><h4>Radiographic spectrum</h4><p>Peri bronchial infiltration may sometimes be seen <sup>2</sup>.</p><p>This may manifest as direct extension from hilar nodes, or as small peripheral nodules, which may or may not be cavitating. Other patterns include masses, mass-like consolidation, or diffuse interstitial thickening. Lung involvement without mediastinal nodal involvement is extremely rare in primary disease. </p><p>In recurrent disease pulmonary parenchymal involvement is more common, and may occur without nodal enlargement <sup>4</sup>.</p><h4>See also</h4><ul><li><a href="/articles/pulmonary-lymphoma">pulmonary lymphoma</a></li></ul>

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