1
|
Daboussi S, Saidane A, Mhamdi S, boubaker N, Mariem C, Aichaouia C, Hela G, Msadek F, Zied M. Case Report: Tracheal infiltration with wheezing revealing Hodgkin's disease. F1000Res 2023; 12:404. [PMID: 37767019 PMCID: PMC10521064 DOI: 10.12688/f1000research.130928.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/07/2023] [Indexed: 09/29/2023] Open
Abstract
Hodgkin's disease with an initial tracheobronchial involvement is not common. The symptoms might be misleading, resulting in a diagnosis delay. We report the case of a 38-year-old woman with a one-month history of wheezing associated with a dry cough. The physical examination revealed a good general state of health, bilateral wheezing and supra-clavicular lymphadenopathy. The adenopathy biopsy's histopathology revealed Hodgkin lymphoma. The whole body FDG-PET scan was an important tool to assess the diagnosis as well as for the staging. The patient was treated with chemotherapy. Another unusual aspect is the tracheobronchial metastasis confirmed by a bronchial biopsy. Thus, our patient was put on a second-line chemotherapy. She died one year after the initial diagnosis. To conclude, it is an atypical clinical presentation of an Hodgkin lymphoma with a tracheobronchial relapse. It should be considered in the differential diagnosis of asthma or a tracheal tumor.
Collapse
Affiliation(s)
- Selsabil Daboussi
- University of Tunis El Manar, Tunis, Tunisia
- Pneumology Department, Military Hospital of Tunis, Tunisia, 1008, Tunisia
| | - Asma Saidane
- Pneumology Department, Military Hospital of Tunis, Tunisia, 1008, Tunisia
| | - Samira Mhamdi
- University of Tunis El Manar, Tunis, Tunisia
- Pneumology Department, Military Hospital of Tunis, Tunisia, 1008, Tunisia
| | - Nouha boubaker
- Pneumology Department, Military Hospital of Tunis, Tunisia, 1008, Tunisia
| | - Chaabane Mariem
- Pneumology Department, Military Hospital of Tunis, Tunisia, 1008, Tunisia
| | - Chiraz Aichaouia
- University of Tunis El Manar, Tunis, Tunisia
- Pneumology Department, Military Hospital of Tunis, Tunisia, 1008, Tunisia
| | - Ghedira Hela
- University of Tunis El Manar, Tunis, Tunisia
- Hematology Department, Military hospital of Tunis,, Tunis, 10008, Tunisia
| | - Fehmi Msadek
- University of Tunis El Manar, Tunis, Tunisia
- Hematology Department, Military hospital of Tunis,, Tunis, 10008, Tunisia
| | - Moetemri Zied
- University of Tunis El Manar, Tunis, Tunisia
- Pneumology Department, Military Hospital of Tunis, Tunisia, 1008, Tunisia
| |
Collapse
|
2
|
Endobronchial ultrasound convex probe for lymphoma, sarcoidosis, lung cancer and other thoracic entities. A case series. Respir Med Case Rep 2017; 22:187-196. [PMID: 28879075 PMCID: PMC5576978 DOI: 10.1016/j.rmcr.2017.08.016] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2017] [Revised: 08/15/2017] [Accepted: 08/18/2017] [Indexed: 12/12/2022] Open
Abstract
Endobronchial ultrasound endoscopy is a state of the art diagnostic endoscopic procedure for the thorax. Firstly it was designed mainly for the staging of lung cancer and of course for the diagnosis of suspicious findings in large central airways. The main limitation of the equipment is the diameter of the instrument and therefore it can only be guided through large airways. However; the diameter of the working channel also provides a large tissue sample nowadays with the 19G biopsy needle. We will provide our experience with the 22G needle of the endobronchial convex-probe in several medical situations of the thorax.
Collapse
|