Kamiya N, Yokoi K, Mori K, Tominaga K, Miyazawa N
Division of Thoracic Diseases, Tochigi Cancer Center, Japan.
Nihon Kyobu Shikkan Gakkai Zasshi. 1995 Sep;33(9):999-1002.
We report an unusual case of thymic Hodgkin's disease with cystic variants. The patient complained of nodules in his neck. Chest radiographs showed a mass with cystic lesions in the anterior mediastinum. Although Hodgkin's disease was suspected from pathologic examination of biopsy specimens of the neck nodules, the mediastinal and neck masses could not be precisely diagnosed until a median sternotomy was done. The surgically excised mediastinal masses revealed thymic Hodgkin's disease with cystic lesions. The patient has done well after chemotherapy and radiotherapy. Thymic Hodgkin's disease with cystic variants is very rare and only seventeen cases of this disease have been reported.
我们报告了一例罕见的伴有囊性变的胸腺霍奇金病病例。患者主诉颈部有结节。胸部X线片显示前纵隔有一个伴有囊性病变的肿块。尽管根据颈部结节活检标本的病理检查怀疑为霍奇金病,但在进行正中胸骨切开术之前,纵隔和颈部肿块无法得到准确诊断。手术切除的纵隔肿块显示为伴有囊性病变的胸腺霍奇金病。该患者在化疗和放疗后情况良好。伴有囊性变的胸腺霍奇金病非常罕见,仅报道过17例这种疾病。