A Rare Huge Intrathoracic Hodgkin's Lymphoma with Lung Involvement-A Case Report

罕見胸廓內巨大何傑金氏淋巴瘤合併肺部侵犯－病例報告

葉金水(Chin-Shui Yeh) ； 林慶雄(Ching-Hsiung Lin) ； 王竹賢(Chu-Hsien Wang) ； 溫仁和(Jen-Ho Wen) ； 林楷煌(Kai-Huang Lin) ； 何明霖(Ming-Lin Ho) ； 李建德(Chien-Te Li) ； 陳正雄(Cheng-Hsiung Chen)

《胸腔醫學》 19卷5期 (2004/10) Pp. 352-357

https://doi.org/10.29806/TM.200410.0006

摘要

何傑金氏淋巴瘤侵犯肺實質一般較少見，病患出現的症狀包括胸部不舒適合併咳嗽，或呼吸困難，倦怠，發燒，體重減輕及夜間出汗。
我們報告一個罕見胸廓內巨大何傑金氏淋巴瘤，這位二十七歲女性的起始症狀為慢性乾咳，逐漸出現運動性呼吸困難。胸部X光以及電腦斷層掃描顯示一個位於前縱隔區及左肺之巨大腫瘤，該腫瘤中間有部分壞疽。核子醫學Galium-67掃描可見一個龐大的腫瘤。
使用超音波導引經皮肺切片，病理報告證實為何傑金氏淋巴瘤。

關鍵字

何傑金氏淋巴瘤 ； 胸部X光 ； Galium-67掃描

並列摘要

Hodgkin's lymphoma rarely involves the lung parenchyma. When it does, the patient might complain of chest discomfort, cough, dyspnea, fatigue, fever, weight loss, and night sweats. We report such a rare manifestation of Hodgkin's lymphoma occurring in a 27-year-old woman. She initially presented with chronic dry cough and exertional dyspnea. Her chest radiography and computed tomography revealed a huge mass with central necrosis located in the left middle lung and anterior mediastinum. The galium-67 scan likewise showed a bulky tumor mass within the left hemithorax. The pathologic examination of the echo-guided transcutaneous lung biopsy demonstrated the mass to be Hodgkin's lymphoma.

並列關鍵字

Hodgkin's lymphoma ； chest radiography ； galium-67