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Anterior mediastinal Hodgkin lymphoma presenting as an extremely hypervascular tumor on computed tomography: A case report.

Abstract In the thorax, Hodgkin lymphoma (HL) most frequently involves the anterior mediastinal and paratracheal regions and tends to spread to contiguous nodal groups. Enlarged lymph nodes typically have homogeneous soft tissue attenuation similar to that of muscle tissue on computed tomography (CT).
PMID
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Authors

Mayor MeshTerms

Hodgkin Disease

Mediastinal Neoplasms

Mediastinum

Keywords
Journal Title medicine
Publication Year Start




PMID- 29742695
OWN - NLM
STAT- MEDLINE
DCOM- 20180515
LR  - 20180515
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 19
DP  - 2018 May
TI  - Anterior mediastinal Hodgkin lymphoma presenting as an extremely hypervascular
      tumor on computed tomography: A case report.
PG  - e0607
LID - 10.1097/MD.0000000000010607 [doi]
AB  - RATIONALE: In the thorax, Hodgkin lymphoma (HL) most frequently involves the
      anterior mediastinal and paratracheal regions and tends to spread to contiguous
      nodal groups. Enlarged lymph nodes typically have homogeneous soft tissue
      attenuation similar to that of muscle tissue on computed tomography (CT). PATIENT
      CONCERNS: A contrast-enhanced CT examination of a 19-year-old man with
      right-sided chest pain showed an intense, heterogeneously enhancing mass with
      organization of serpentine and dilated blood vessels in the right anterior
      mediastinum that had invaded the upper lobe of the right lung. DIAGNOSES:
      Following a wedge resection, histopathological examination showed Reed-Sternberg 
      cells that were positive for CD-15 and CD-30, which is typical of HL.
      INTERVENTIONS: The patient was started treatment with 6 cycles of doxorubicin,
      bleomycin, vincristine, and dacarbazine (ABVD) regimen. OUTCOMES: After
      chemotherapy, the patient had shown a partial response to the treatment. LESSONS:
      This presentation of HL as an extremely hypervascular anterior mediastinal mass
      on CT imaging has not been previously reported in the literature. This case
      suggests that HL should be included in the differential diagnosis of a
      hypervascular anterior mediastinal mass, especially if the patient is a young
      adult.
FAU - Lee, Soo Jeong
AU  - Lee SJ
AD  - Department of Radiology.
FAU - Rho, Ji Young
AU  - Rho JY
AD  - Department of Radiology.
FAU - Kim, Gwang Il
AU  - Kim GI
AD  - Department of Pathology.
FAU - Park, Joonsuk
AU  - Park J
AD  - Department of Thoracic Surgery, CHA Bundang Medical Center, CHA University,
      Bundang-gu, Seongnam-si, Republic of Korea.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Antineoplastic Agents)
RN  - 11056-06-7 (Bleomycin)
RN  - 5V9KLZ54CY (Vinblastine)
RN  - 7GR28W0FJI (Dacarbazine)
RN  - 80168379AG (Doxorubicin)
RN  - ABVD protocol
SB  - AIM
SB  - IM
MH  - Antineoplastic Agents/*administration & dosage
MH  - Antineoplastic Combined Chemotherapy Protocols/*administration & dosage
MH  - Bleomycin/administration & dosage
MH  - Dacarbazine/administration & dosage
MH  - Diagnosis, Differential
MH  - Dissection/*methods
MH  - Doxorubicin/administration & dosage
MH  - *Hodgkin Disease/diagnosis/pathology/physiopathology/therapy
MH  - Humans
MH  - Lung/diagnostic imaging
MH  - Male
MH  - *Mediastinal Neoplasms/diagnosis/pathology/physiopathology/therapy
MH  - *Mediastinum/blood supply/diagnostic imaging
MH  - Reed-Sternberg Cells/pathology
MH  - Regional Blood Flow
MH  - Tomography, X-Ray Computed/methods
MH  - Vinblastine/administration & dosage
MH  - Young Adult
EDAT- 2018/05/10 06:00
MHDA- 2018/05/16 06:00
CRDT- 2018/05/10 06:00
PHST- 2018/05/10 06:00 [entrez]
PHST- 2018/05/10 06:00 [pubmed]
PHST- 2018/05/16 06:00 [medline]
AID - 10.1097/MD.0000000000010607 [doi]
AID - 00005792-201805110-00014 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(19):e0607. doi: 10.1097/MD.0000000000010607.