Stolk M F, van der Lee I, Biesma D H, Geers T A, Seldenrijk C A
Dept. of Internal Medicine, St. Antonius Hospital, Nieuwegein, The Netherlands.
Neth J Med. 1999 Jun;54(6):239-41. doi: 10.1016/s0300-2977(99)00013-3.
A 53 year-old Moroccan woman presented with a tender parasternal mass. Computerized tomography showed a mediastinal mass protruding through the sternum. Cytologic examination of fluid collected from the mass repeatedly showed acute inflammation. Tuberculostatics were started. Since patient did not improve on tuberculostatics, a small supraclavicular lymph node was removed. Histologic examination showed Morbus Hodgkin of the nodular sclerosing type. Ultimately, cytologic examination of fluid from the parasternal mass showed atypical cells. Response on chemotherapy was excellent with complete disappearance of the parasternal mass. This is a very unusual extranodal presentation of Hodgkin's disease.
一名53岁的摩洛哥女性因胸骨旁出现压痛性肿块前来就诊。计算机断层扫描显示纵隔肿块经胸骨突出。从肿块中采集的液体进行细胞学检查，结果反复显示为急性炎症。于是开始使用抗结核药。由于患者使用抗结核药后病情未改善，遂切除了一个小的锁骨上淋巴结。组织学检查显示为结节硬化型霍奇金病。最终，胸骨旁肿块液体的细胞学检查发现了非典型细胞。化疗反应良好，胸骨旁肿块完全消失。这是霍奇金病一种非常罕见的结外表现。
