Amro Lamyae, Jridi Siham, Sajiai Hafsa, Serhane Hind, Batahar Salma Aït
Department of Pneumology, CHU Mohammed VI, Laboratory PCIM, FMPM, UCA, Marrakech, Morocco.
Pan Afr Med J. 2017 Sep 7;28:9. doi: 10.11604/pamj.2017.28.9.11315. eCollection 2017.
The endobronchial localization of Hodgkin's disease is a rare entity which is often confused with endobronchial tuberculosis in our setting. We report the case of a 16 years old female who presented with 6 months history of dry cough, hemoptysis, dyspnea, dysphagia and dysphonia. The chest radiography showed a mediastinal and pulmonary opacity. The chest CT scan found enlarged mediastinal lymph nodes. The bronchial biopsy and peripheral lymph node biopsy confirmed Hodgkin's disease with endobronchial localization. The patient received chemotherapy (ABVD protocol) and radiotherapy with a favorable follow up.
霍奇金淋巴瘤的支气管内定位是一种罕见的情况,在我们的环境中常常与支气管内膜结核相混淆。我们报告了一例16岁女性患者,她有6个月干咳、咯血、呼吸困难、吞咽困难和声音嘶哑的病史。胸部X线显示纵隔和肺部有阴影。胸部CT扫描发现纵隔淋巴结肿大。支气管活检和外周淋巴结活检确诊为支气管内定位的霍奇金淋巴瘤。患者接受了化疗(ABVD方案)和放疗,随访情况良好。