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Difficulty differentiating primary mediastinal classical Hodgkin lymphoma from inflammatory myofibroblastic tumor: A case report.
- Source :
- Thoracic Cancer; Feb2024, Vol. 15 Issue 5, p410-414, 5p
- Publication Year :
- 2024
-
Abstract
- A 20‐year‐old Japanese man visited our hospital because an enlarged mediastinal shadow had been detected on chest x‐ray. Chest computed tomography revealed a large mediastinal mass with multiple lymph node enlargement, pericardial effusion, and bilateral pleural effusion. He was diagnosed with inflammatory myofibroblastic tumor (IMT) based on a thoracoscopic tumor biopsy. Initial corticosteroid and celecoxib treatment was only partially effective; therefore, additional tumor rebiopsy and left axillary lymph node biopsy were performed. Based on the findings, the patient was rediagnosed with classical Hodgkin lymphoma (CHL). To date, there has only been one report of a case initially diagnosed as IMT and rediagnosed as CHL, as in our case, and only three reports of malignant lymphoma mimicking IMT. When IMT is suspected based on pathological findings and subsequently with treatment failure, possible CHL and performing rebiopsy should be considered. [ABSTRACT FROM AUTHOR]
- Subjects :
- STEM cell transplantation
CANCER diagnosis
MUSCLE cells
HODGKIN'S disease
CYCLOOXYGENASE 2
MEDIASTINUM
CHEST X rays
BIOPSY
ADRENOCORTICAL hormones
INFLAMMATION
NONSTEROIDAL anti-inflammatory agents
DIFFERENTIAL diagnosis
MEDIASTINAL tumors
CHEMORADIOTHERAPY
TREATMENT effectiveness
AUTOGRAFTS
COMPUTED tomography
THORACOSCOPY
Subjects
Details
- Language :
- English
- ISSN :
- 17597706
- Volume :
- 15
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Thoracic Cancer
- Publication Type :
- Academic Journal
- Accession number :
- 175417489
- Full Text :
- https://doi.org/10.1111/1759-7714.15197