Hodgkin Lymphoma Mimicking Osteomyelitis
| Autor: | Anca Georgescu, Onyemaechi Okolo, Volodymyr Shponka, Aneela Majeed, Daniel O. Persky, Onyee Chan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Lymphoma Erythema Constitutional symptoms Case Report Osseous Hodgkin lymphoma Chest pain lcsh:RC254-282 03 medical and health sciences 0302 clinical medicine immune system diseases hemic and lymphatic diseases Biopsy medicine medicine.diagnostic_test business.industry Osteomyelitis lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease Surgery Oncology 030220 oncology & carcinogenesis Hodgkin lymphoma Radiology Differential diagnosis medicine.symptom business 030215 immunology |
| Zdroj: | Case Reports in Oncology, Vol 10, Iss 2, Pp 542-547 (2017) Case Reports in Oncology |
| ISSN: | 1662-6575 |
| Popis: | Hodgkin lymphoma with symptomatic osseous involvement can have a similar presentation to osteomyelitis. Common findings in symptoms, laboratory workup, and imaging can make it very difficult to distinguish between the two diseases. Excisional biopsy should be pursued if fine-needle biopsy is equivocal and suspicion of lymphoma is high. We report a case of a 40-year-old man who presented with a history of marine animal sting on his neck and later developed erythema in the area, chest pain, constitutional symptoms, adenopathy, and imaging classic for sternal osteomyelitis. Fortunately, initial biopsy prompted the possibility of lymphoma, and further workup was initiated, which confirmed Hodgkin lymphoma. This case is a good reminder that malignancies and infections can share many common features, and keeping a broad differential diagnosis can be lifesaving. Proper staging and risk stratification of Hodgkin lymphoma help determine the optimal treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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