Hodgkin lymphoma - mediastinal

Discussion:

A good case for long case or viva of a fellowship examination.

Start with the plain film to assess:

  • the candidate's approach to a common film
  • their understanding of how to determine mediastinal compartment the pathology lies in
  • knowledge to give a reasonable differential diagnosis
  • to 'earn' the CT to give a more confident definitive diagnosis
  • question on the best method of ascertaining a tissue diagnosis

Additional discussion of US-guided neck node biopsy vs surgical excision vs CT-guided mediastinal mass biopsy. 

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