2013, Number 2
Mediastinal lymphoma: apropos of a patient
Language: Spanish
References: 12
Page:
PDF size: 344.71 Kb.
ABSTRACT
The case of a 25-year-old male patient, with an apparent history of good health, who began to have retrosternal pain with several months of evolution, fainting and occasional dyspnea, is reported. A chest X-ray, a simple lung computed tomography and a contrasted computed tomography were carried out. They showed the presence of a mediastinal tumor. In a right anterolateral thoracotomy, a thick polylobulated tumor was found, covering the superior and anterior mediastinum and encompassing the great vessels. Surgical resection was decided (cytoreductive surgery), since the tumor exerted a compressive effect on the right atrium and ventricle. The pathologic anatomy report indicates: Classical Hodgkin lymphoma, nodular sclerosis variant in the thymic area. The patient improved.REFERENCES
Kriz J, Mueller RP, Mueller H, Kuhnert G, Engert A, Kobe C, et al. Large mediastinal tumor mass as a prognostic factor in Hodgkin's lymphoma. Is the definition on the basis of a chest radiograph in the era of CT obsolete? Strahlenther. Onkol. 2012 Nov;188(11):1020-4. doi: 10.1007/s00066-012-0163-7. PMID: 23053141 [PubMed - indexed for MEDLINE]
Lu NN, Li YX, Wu RY, Zhang XM, Wang WH, Jin J, et al. Dosimetric and clinical outcomes of involved-field intensity-modulated radiotherapy after chemotherapy for early-stage Hodgkin's lymphoma with mediastinal involvement. Int J Radiat Oncol Biol Phys. 2012 Sep 1;84(1):210-6. doi: 10.1016/j.ijrobp.2011.11.008. Epub 2012 Mar 19. PMID: 22436783
Girinsky T, Ghalibafian M, Paumier A. Intensity modulated radiotherapy for intrathoracic cancers: a dangerous liaison? Our experience in the treatment of Hodgkin lymphoma mediastinal masses. Cancer Radiother. 2011 Oct;15(6-7):546-8. doi: 10.1016/j.canrad.2011.06.004. Epub 2011 Aug 31. Review. French. PMID: 21885321
Koeck J, Abo-Madyan Y, Lohr F, Stieler F, Kriz J, Mueller RP, et al. Radiotherapy for early mediastinal Hodgkin lymphoma according to the German Hodgkin Study Group (GHSG): the roles of intensity-modulated radiotherapy and involved-node radiotherapy. Int J Radiat Oncol Biol Phys. 2012 May 1;83(1):268-76. doi: 10.1016/j.ijrobp.2011.05.054. Epub 2011 Nov 11. PMID: 22079733
Grant C, Dunleavy K, Eberle FC, Pittaluga S, Wilson WH, Jaffe ES. Primary mediastinal large B-cell lymphoma, classic Hodgkin lymphoma presenting in the mediastinum, and mediastinal gray zone lymphoma: what is the oncologist to do? Curr Hematol Malig Rep. 2011 Sep;6(3):157-63. doi: 10.1007/s11899-011-0090-1. Review. PMID: 21590365