Telfah Muwaffaq Mezeil
Department of Surgery, College of Medicine, University of Mosul, Mosul, Ninevah, Iraq.
BMJ Case Rep. 2012 Sep 21;2012:bcr-2012-006219. doi: 10.1136/bcr-2012-006219.
Lymphadenitis with suppuration is a rare presentation of Hodgkin's lymphoma with few cases reported in the literature. We report two cases of Hodgkin's lymphoma in two male members of the same family. They presented initially with clinical features suggesting infective inguinal lymphadenitis and then the picture was indistinguishable from inguinal abscess. The diagnosis was made after drainage of the pus and excision of the involved lymph node. The histopathology of the excised lymph node showed Hodgkin's lymphoma-nodular sclerosis for both brothers. After careful staging of both patients, the disease found to be localised to the inguinal group of lymph nodes. The patients referred to the haematologist for chemotherapy and they recovered after treatment.
化脓性淋巴结炎是霍奇金淋巴瘤的一种罕见表现，文献中报道的病例较少。我们报告了同一家族中两名男性成员患霍奇金淋巴瘤的病例。他们最初表现出提示感染性腹股沟淋巴结炎的临床特征，随后病情与腹股沟脓肿难以区分。在脓液引流和切除受累淋巴结后作出诊断。切除淋巴结的组织病理学检查显示，两兄弟均为霍奇金淋巴瘤-结节硬化型。在对两名患者进行仔细分期后，发现疾病局限于腹股沟淋巴结组。患者被转诊至血液科医生处接受化疗，治疗后康复。
