Hodgkin’s Disease: Internal Mammary Lymph Nodes Relapse Diagnosed by Gallium-67 Scintigraphy

Summary

This article presents the case of a 62-year-old man with treated Hodgkin’s disease who had internal mammary lymph nodes relapse after a complete initial response. These masses were gallium avid. These findings were explained by histologically documented Hodgkin’s relapse, the first such case reported in that localization without chest wall involvement. The literature on mediastinal Hodgkin’s disease and diagnostic procedures are reviewed.

Zusammenfassung

Beschrieben wird der Fall eines 62jährigen Mannes, der nach initial erfolgreicher Therapie eines Morbus Hodgkin ein Lymphknotenrezidiv im Bereich der Brust aufweist. Die Lymphknoten reicherten Gallium an. Histologisch wurde das Hodgkinrezidiv gesichert. Es handelt sich um den ersten in diesem Bereich beschriebenen Fall ohne Infiltration der Brustwand. Die Literatur über mediastinalen Morbus Hodgkin und diagnostisches Vorgehen wurde überprüft.

Key words

Hodgkin’s disease - internal mammary relapse - Ga-67 scintigraphy

Schüsselwörter

Morbus Hodgkin - Lymphknotenrezidiv im Bereich der Brust - Ga-67-Szintigraphie

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