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Tracheo-oesophageal groove Hodgkin's lymphoma presenting as stridor: a diagnostic challenge.
- Source :
-
BMJ case reports [BMJ Case Rep] 2021 Jan 06; Vol. 14 (1). Date of Electronic Publication: 2021 Jan 06. - Publication Year :
- 2021
-
Abstract
- A 38-year-old male patient presented to the ear, nose and throat department with shortness of breath over last 2 months. The CT scan of the neck and chest revealed a 3.3×3 cm tumour behind the right thyroid lobe extending into the tracheo-oesophageal (TO) groove with tracheal compression. The ultrasound scan of the neck and targeted fine needle aspiration followed by core biopsy raised a suspicion of Hodgkin's lymphoma. The patient underwent a right hemithyroidectomy and incisional biopsy of the right TO groove tumour. The histology confirmed a Hasenclever's three nodular sclerosing Hodgkin's lymphoma for which he received adjuvant chemotherapy. An incidental pT1a pN0 thyroid papillary microcarcinoma in the adjacent thyroid parenchyma was completely excised. This represents a case of TO Hodgkin's lymphoma, of which there are no current published case reports. We aim to raise awareness about this rare condition by sharing the diagnostic work up and successful management in a multidisciplinary team setting.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Adult
Antineoplastic Combined Chemotherapy Protocols therapeutic use
Biopsy, Large-Core Needle
Carcinoma, Papillary complications
Carcinoma, Papillary pathology
Carcinoma, Papillary therapy
Chemotherapy, Adjuvant
Diagnosis, Differential
Dyspnea etiology
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Esophageal Neoplasms complications
Esophageal Neoplasms pathology
Esophageal Neoplasms therapy
Esophagus diagnostic imaging
Esophagus pathology
Esophagus surgery
Hodgkin Disease complications
Hodgkin Disease pathology
Hodgkin Disease therapy
Humans
Incidental Findings
Male
Neck Dissection
Neoplasms, Multiple Primary complications
Neoplasms, Multiple Primary pathology
Neoplasms, Multiple Primary therapy
Thyroid Neoplasms complications
Thyroid Neoplasms pathology
Thyroid Neoplasms therapy
Thyroidectomy
Tomography, X-Ray Computed
Tracheal Neoplasms complications
Tracheal Neoplasms pathology
Tracheal Neoplasms surgery
Treatment Outcome
Ultrasonography
Carcinoma, Papillary diagnosis
Esophageal Neoplasms diagnosis
Hodgkin Disease diagnosis
Neoplasms, Multiple Primary diagnosis
Respiratory Sounds
Thyroid Neoplasms diagnosis
Tracheal Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 14
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 33408107
- Full Text :
- https://doi.org/10.1136/bcr-2020-238271