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Hodgkin lymphoma

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Chest pain and breath shortness.

Patient Data

Age: 35 years
Gender: Male
ct
  • superior and anterior mediastinum soft tissue density mass measuring about 80x140x150 mm with vascular structures encasement 
  • pericardial effusion
  • linear atelectasis in the left lung lingulae segment
  • normal aeration of both lungs without significant parenchymal infiltration
  • no parenchymal nodularity or mass lesion
  • no pleural effusion
Photo

HIstomorphologic and IHC findings are compatible with classic Hodgkin lymphoma, nodular sclerosing subtype.

Case Discussion

Large mediastinal mass in a 35 years old male patient; pathology proved Hodgkin lymphoma (nodular sclerosing subtype). Hodgkin lymphoma spreads along lymphatic pathways and has two peaks in young adults (15-34 years) and older patients (>55 years). It is curable in ~90% of cases, depending on its stage and sub-type.

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