A Case Report

Wang, Qingxuan; Chen, Endong; Cai, Yanfei; Zhang, Xiangjian; Li, Quan; Zhang, Xiaohua

doi:10.1097/md.0000000000002912

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…It may turn out that the coincidence of HL and LYG occurs more often than it may seem, which would thus allow an indepth explanation of the etiopathogenesis of the simultaneous occurrence of both conditions. It is very difficult to interpret considering that one case has been described so far (16)(17)(18). It is significant, that the MC subtype of HL is the most associated with EBV infection (19) (such as was present in our patient).…”

Section: Discussionmentioning

confidence: 67%

“…In the lungs, the possibility of tuberculosis or other inflammatory processes that excluded intensive chemotherapy could be considered. The simultaneous occurrence of HL and tuberculosis has already been described in the literature (16)(17)(18). Jehanno et al addressed the diagnostic problems of possible coincidence of both conditions using the PET/CT imaging technique (21).…”

Section: Discussionmentioning

confidence: 99%

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A Case Report of a Female Patient With Hodgkin Lymphoma Localized in the Central Nervous System and With Concomitant Pulmonary Lymphomatoid Granulomatosis

et al. 2020

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The involvement of the central nervous system (CNS) in Hodgkin lymphoma (HL) has been rarely reported, especially in its primary isolated form. Herein, we present a case of a 33-year-old woman, who received immunosuppressive treatment due to ulcerative colitis (at the beginning azathioprine and sulfasalazine, changed to mesalazine), with repetitive episodes of loss of consciousness for a few weeks and with no other symptoms. Magnetic resonance imaging scans of the head revealed a tumor in the lateral part of the left temporal lobe and in the cerebellum. Moreover, a subsequent computed tomographic scan of the chest revealed diffuse tumorous lesions in the lungs. The brain tumor was resected and a tumorous lesion resected from the lungs was biopsied. The histopathological analysis confirmed the final diagnosis of HL localized in the CNS with concomitant pulmonary lymphomatoid granulomatosis (LYG) grade 1. After the patient underwent radiotherapy and chemotherapy, the patient showed complete regression of lesions in the CNS and lungs, which was confirmed by positron emission tomographic scan. LYG and CNS-HL are rare proliferative disease derived from lymphocytes B and associated with EBV infections. An association between LYG and other autoimmune disorders has been reported, but to the best of our knowledge, this is the first case of the CNS-HL associated with lymphatoid granulomatosis.

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Section: Discussionmentioning

confidence: 67%

Section: Discussionmentioning

confidence: 99%

A Case Report of a Female Patient With Hodgkin Lymphoma Localized in the Central Nervous System and With Concomitant Pulmonary Lymphomatoid Granulomatosis

et al. 2020

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“…Therefore, differentiation of tuberculous mediastinal lymphadenitis with lymphoma by PET-CT is difficult and inadvisable as well. [ 3 , 13 ]…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, TB also can be observed in extra-pulmonary sites like urinary system or digestive system, about 25% patients of TB cases were diagnosed as extra-pulmonary tuberculosis. [ 3 ] Due to the vagueness and complexity of clinical symptoms, extra-pulmonary TB increase the difficulty in clinical diagnosis and therapy.…”

Section: Introductionmentioning

confidence: 99%

Combined transbronchoscopic needle aspiration (TBNA) and rapid on-site cytological evaluation (ROSE) for diagnosis of tuberculous mediastinal lymphadenitis

Dai

Ning²,

Yang³

et al. 2018

Medicine

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Introduction:The diagnosis of tuberculous mediastinal lymphadenitis remains a challenge, and the use of transbronchoscopic needle aspiration (TBNA) combined with rapid on-site cytological evaluation (ROSE) is still unclear. A case of tuberculous mediastinal lymphadenitis was illustrated to show the diagnostic value of TBNA and ROSE.Case presentation:In this case report, we presented a typical case of a 44-year-old male who underwent obvious odynophagia and mild symptom of dyspnea. One isolated mass positioned on posterior mediastinum was examined as positive discovery. Finally, he was diagnosed with tuberculous mediastinal lymphadenitis by using TBNA combined with ROSE and treated with anti-TB.Conclusions:TBNA is an efficacious and safe approach, which is worth popularizing for the clinical diagnosis of mediastinal masses. Meanwhile, ROSE is useful to reduce the numbers of needle passes during TBNA. We aimed to emphasize 2 key points in this case report. Firstly, a rare symptom of Tuberculosis in adults was supported by the patient. Secondly, TBNA combined with ROSE is useful for the diagnosis of tuberculous mediastinal lymphadenitis.

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“…18 F-FDG PET-CT imaging can provide a more reliable clinical basis for diagnosis by simultaneously obtaining information on the anatomy and functional metabolism of the lesion and revealing multiple lesions throughout the body. [2][3][4] Yamamoto et al reported that tuberculin testing combined with 18 F-FDG PET-CT tumor imaging may be used for the diagnosis of tuberculous peritonitis. 5 Lymph-node tuberculosis does not necessarily show increased uptake of FDG.…”

Section: Introductionmentioning

confidence: 99%

<p><sup>18</sup>F-FDG PET–CT Diagnosis of Tuberculosis in Celiac Lymph Nodes</p>

Mao

Huang

et al. 2020

IJGM

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The special location of abdominal tuberculosis makes it difficult for biopsy, while its clinical and imaging characteristics make it indistinguishable from tumors. Here, we report a female patient that was initially misdiagnosed with pancreatic cancer, but eventually correctly diagnosed with tuberculosis in the celiac lymph nodes using 18 F-FDG PET-CT. She was 38 years old. Her main complaint was "deep abdominal pain and discomfort for nearly a month", accompanied by nausea and vomiting. Diagnosis of pancreatic tumors or enlarged lymph nodes was initially made based on CT scan results. Abdominal MRI revealed enlarged lymph nodes. 18 F-FDG PET-CT imaging revealed a soft-tissue mass about 2.8 cm in diameter in the hepatic hilar area with a maximum standardized uptake value (SUV max) of 9.4, and delayed imaging measured the SUV max at 12. Enhanced CT showed no vascular envelopment in the mass. Based on these results, the patient was diagnosed with tuberculosis in the celiac lymph nodes. Her tuberculin test was strongly positive. After 5 months of antituberculosis treatment, the mass had reduced to about 1.5 cm in diameter and SUV max reduced to 8.1, as demonstrated by 18 F-FDG PET-CT imaging. Abdominal lymphnode tuberculosis is easy to misdiagnose, but timely 18 F-FDG PET-CT imaging combined with tuberculin testing may reduce misdiagnosis and mistreatment.

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A Case Report

Abstract: Supplemental Digital Content is available in the text

Cited by 6 publications

References 8 publications

A Case Report of a Female Patient With Hodgkin Lymphoma Localized in the Central Nervous System and With Concomitant Pulmonary Lymphomatoid Granulomatosis

A Case Report of a Female Patient With Hodgkin Lymphoma Localized in the Central Nervous System and With Concomitant Pulmonary Lymphomatoid Granulomatosis

Combined transbronchoscopic needle aspiration (TBNA) and rapid on-site cytological evaluation (ROSE) for diagnosis of tuberculous mediastinal lymphadenitis

<p><sup>18</sup>F-FDG PET–CT Diagnosis of Tuberculosis in Celiac Lymph Nodes</p>

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