Presentation
Chest pain and breath shortness.
Patient Data
Age: 35 years
Gender: Male
From the case:
Hodgkin lymphoma
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- superior and anterior mediastinum soft tissue density mass measuring about 80x140x150 mm with vascular structures encasement
- pericardial effusion
- linear atelectasis in the left lung lingulae segment
- normal aeration of both lungs without significant parenchymal infiltration
- no parenchymal nodularity or mass lesion
- no pleural effusion
From the case:
Hodgkin lymphoma
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HIstomorphologic and IHC findings are compatible with classic Hodgkin lymphoma, nodular sclerosing subtype.
Case Discussion
Large mediastinal mass in a 35 years old male patient; pathology proved Hodgkin lymphoma (nodular sclerosing subtype). Hodgkin lymphoma spreads along lymphatic pathways and has two peaks in young adults (15-34 years) and older patients (>55 years). It is curable in ~90% of cases, depending on its stage and sub-type.