A Case of Hodgkin's Lymphoma Presenting with Pleural Effusion

Abstract

Pleural effusion has been reported in 7%–30% of patients with Hodgkin's lymphoma.[1] Unilateral and bilateral effusions are equally prevalent. Increasing stage, any extranodal involvement, and bulky mediastinal disease were each predictive of pleural effusions.[2] Pleural fluid Adenosine deaminase (ADA) levels in such cases may be elevated, normal, or in the indeterminate range (40–60 IU/l), which alone should not be the criteria for starting anti-tubercular therapy without comprehensive radiological and pathological investigations to look for any malignant etiology.