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Vol.38 No.6 contents | Japanese/English |
- Case Report -
A Case of Malignant Lymphoma (Hodgkin's Disease) in the Anterior Mediastinum
Yoshirou Sazawa, Mitsuo Kawamura, Kimito Orino and Ichirou SuzukiDepartment of Thoracic Surgery, Nakadohri General Hospital
A 36-year-old female was admitted with an abnormal shadow on chest X-ray. Her chest CT scan showed an anterior mediastinal mass invading the superior vena cave and the right lung. Roentogenologically, invasive thymoma was suspected. As transcutaneus needle aspiration cytology failed to provide a diagnosis, open biopsy was performed. The resected specimens revealed Hodgkin's disease (nodular sclerotic type). She underwent 10 cycles of chemotherapy and complete remission was obtained. In Japan, reports of Hodgkin's disease in the anterior mediastinum are rare. Differentiating between malignant lymphoma and invasive thymoma is important because of their different therapeutic modalities: irradiation is effective in invasive thymoma, whose chemotherapy is effective in malignant lymphoma.
key words: Mediastinal tumor, Hodgkin's disease
Received: July 13, 1998
Accepted: August 31, 1998
JJLC 38 (6): 727-731, 1998
