Zulian G B, Jacot-des-Combes E, Aapro M S
Eur J Surg Oncol. 1986 Sep;12(3):307-10.
Primary pulmonary Hodgkin's disease is rare. We report the case of a previously healthy 23-year-old woman who presented with isolated involvement of the right upper pulmonary lobe. Nodular sclerosing Hodgkin's disease was diagnosed after curative surgery. The clinical stage is felt to be IEBL+. The reasons for this staging, as opposed to a stage IV, are discussed. Adjuvant radiotherapy was given, delivering 39.6 grays in 22 courses of 1.8 grays. Three years after diagnosis, the patient is well and free of disease. A review of the literature indicates that the majority of primary pulmonary Hodgkin's disease present as a single mass amenable to curative surgery and radiation therapy. Chemotherapy can be reserved for the rare diffuse presentation.
原发性肺霍奇金病较为罕见。我们报告一例病例，患者为一名23岁既往健康的女性，表现为右上肺叶单独受累。经根治性手术后诊断为结节硬化型霍奇金病。临床分期为IEBL+。文中讨论了与IV期不同而进行此分期的原因。给予辅助放疗，22次疗程，每次1.8格雷，总量39.6格雷。诊断三年后，患者情况良好，无疾病迹象。文献回顾表明，大多数原发性肺霍奇金病表现为单个肿块，适合进行根治性手术和放射治疗。化疗可用于罕见的弥漫性表现。
