open access

Vol 82, No 2 (2014)
CASE REPORTS
Submitted: 2014-02-25
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Diagnostic difficulties in diagnosis of Hodgkin’s disease in a young man — a case report

Adam Bubel Adam Bubel, Paweł Rogoziński, Piotr Wandzel, Krzysztof Bruliński Krzysztof Bruliński
DOI: 10.5603/PiAP.2014.0020
·
Pneumonol Alergol Pol 2014;82(2):150-155.

open access

Vol 82, No 2 (2014)
CASE REPORTS
Submitted: 2014-02-25

Abstract

Lymphomas are neoplasms of lymphocytes and their precursor cells. This disease develops from lymph nodes or extranodal lymphoid tissue. A common site for such a tumour is the chest. The authors describe the case of a young man, who was admitted do the thoracic surgery department with a mediastinal tumour and an induration of the base of the neck. Initial diagnostic tests gave the wrong diagnosis of actinomycosis. A lack of progress in the therapy and the occurrence of a life-threatening condition led to the implementation of more aggressive diagnostic methods. In biopsies taken during thoracotomy, the patient was finally diagnosed with Hodgkin’s lymphoma of nodular sclerosis type. Conclusions: Mediastinal tumours may cause diagnostic difficulties and, to avoid mistakes, typical histological studies should be complemented by targeted immunohistochemical tests.

Abstract

Lymphomas are neoplasms of lymphocytes and their precursor cells. This disease develops from lymph nodes or extranodal lymphoid tissue. A common site for such a tumour is the chest. The authors describe the case of a young man, who was admitted do the thoracic surgery department with a mediastinal tumour and an induration of the base of the neck. Initial diagnostic tests gave the wrong diagnosis of actinomycosis. A lack of progress in the therapy and the occurrence of a life-threatening condition led to the implementation of more aggressive diagnostic methods. In biopsies taken during thoracotomy, the patient was finally diagnosed with Hodgkin’s lymphoma of nodular sclerosis type. Conclusions: Mediastinal tumours may cause diagnostic difficulties and, to avoid mistakes, typical histological studies should be complemented by targeted immunohistochemical tests.

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Keywords

Hodgkin’s lymphoma, differential diagnosis of mediastinal, immunohistochemistry, actinomycosis

About this article
Title

Diagnostic difficulties in diagnosis of Hodgkin’s disease in a young man — a case report

Journal

Advances in Respiratory Medicine

Issue

Vol 82, No 2 (2014)

Pages

150-155

DOI

10.5603/PiAP.2014.0020

Bibliographic record

Pneumonol Alergol Pol 2014;82(2):150-155.

Keywords

Hodgkin’s lymphoma
differential diagnosis of mediastinal
immunohistochemistry
actinomycosis

Authors

Adam Bubel Adam Bubel
Paweł Rogoziński
Piotr Wandzel
Krzysztof Bruliński Krzysztof Bruliński

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