Benign proliferative lesions mimicking recurrence of Hodgkin's disease
β Scribed by Epelbaum, Ron; Ben-Arie, Yehudit; Bar-Shalom, Rachel; Gaitini, Diana; Ben-Shahar, Menachem; Leviov, Michelle; Ben-Haim, Simona; Israel, Ora; Front, Dov; Haim, Nissim
- Publisher
- John Wiley and Sons
- Year
- 1997
- Tongue
- English
- Weight
- 204 KB
- Volume
- 28
- Category
- Article
- ISSN
- 0098-1532
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β¦ Synopsis
Salvage treatment in patients with recurrent larged pelvic lymph nodes were identified in Hodgkin's disease is more effective when tumor another case, after a diagnosis of recurrent disburden is minimal. That is why more intensive ease in axilla. Those findings were interpreted follow-up strategies, including frequent imaging as relapse, and the patients underwent thoracottests, have been recently developed for the de-omy and laparotomy, respectively, for histologic tection of early relapse. However, as screening confirmation. The results showed progressively procedures become more sensitive, there is an transformed germinal centers and sarcoid-like increasing risk of false-positive results, demon-lesions, two benign proliferative disorders. strating nonmalignant proliferative disorders. When patients with Hodgkin's disease in remis-We describe three young patients who had lym-sion show new lymphadenopathy, even with phocyte-predominant or mixed-cellularity Hod-positive gallium scan, it seems mandatory to gkin's disease and were in clinical complete obtain tissue for histologic examination, even remission for 2.5-3 years after a combined treat-through invasive procedures such as laparotomy ment with chemotherapy and radiation. Imaging and thoracotomy, to avoid wrong diagnosis and tests revealed new gallium-avid lymphadenopa-unnecessary treatment. Med. Pediatr. Oncol. thy in the chest in two cases.
π SIMILAR VOLUMES
A series of patients with localized Hodgkin's disease who were treated with irradiation has been reviewed. Some patients had received prior chemotherapy and, with relapse of disease, were referred for radiotherapy. At the time of irradiation all patients were in good general condition and still had
Spontaneous, suppurative-necrotizing changes associated with Hodgkin's disease (HD) are not infrequent. They are mostly observed in the nodular sclerosis variant of HD and can cause an erroneous histologic diagnosis of suppurative lymphadenitis. Few cytologic reports describing this presentation of
lesions with a diameter of 1 cm
A total of 57 patients with Hodgkin's disease limited to above the diaphragm (Stages I and II, A and B) were treated with radiation therapy alone at the University of Florida between 1964 and 1974. Staging laparotomy was done on 24 patients (42%). A total of 16 patients have relapsed, 4 within the t