Respir Case Rep. 2012; 1(1): 19-23 | DOI: 10.5505/respircase.2012.91885

Endobronþiyal tutulum gösteren Hodgkin lenfoma: olgu sunumu

Oðuzhan Okutan¹, Ömer Ayten¹, Dilaver Demirel², Ersin Demirer¹, Dilaver Taþ¹, Zafer Kartaloðlu^1
1GATA Haydarpaþa Eðitim Hastanesi, Göðüs Hastalýklarý, Ýstanbul
²Gata Haydarpaþa Eðitim Hastanesi, Patoloji Servisi, Ýstanbul

Burada nadir görülen endobronþial tutulumlu bir Hodgkin lenfoma olgusu sunulmuþtur. Yirmi üç yaþýnda erkek hasta öksürük, hemoptizi, sað yan aðrýsý ve efor dispnesi yakýnmalarý sebebi ile hastaneye yatýrýldý. Oskültasyonda sað hemitoraksta skapula üstünde solunum sesleri azalmýþ olarak duyuldu. Akciðer grafisinde sað üst zonda paratrakeal çizgiyi silen düzgün sýnýrlý homojen dansite izlendi. Bilgisayarlý toraks tomografide mediastende milimetrik boyutta multiple lenfadenopatiler ile sað akciðer üst lob ve orta lob medial segmentte 8x10x6 cm boyutlarýnda içerisinde hava bronkogramý izlenen konsolidasyon alaný rapor edildi. Fiberoptik bronkoskopide sað üst lob giriþini tamamen týkayan ve intermedial bronþa uzaným gösteren kitle lezyonu görüldü. Mukoza biyopsisinin histopatolojik incelemesi sonucu klasik tip Hodgkin Lenfoma tanýsý kondu.

Anahtar Kelimeler: Hodgkin lenfoma, akciðer tutulumu, endobronþiyal kitle

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Hodgkin’s lymphoma with endobronchial involvement: a case report

Oðuzhan Okutan¹, Ömer Ayten¹, Dilaver Demirel², Ersin Demirer¹, Dilaver Taþ¹, Zafer Kartaloðlu^1
1GMMA Haydarpasa Training Hospital, Department Of Pulmonary Medicine, Istanbul
²GMMA Haydarpasa Training Hospital, Department Of Pathology, Istanbul

A rarely observed case of Hodgkin's disease with endobronchial involvement is presented here. Twentythree years old male patient with the complaints of cough, hemopthysis, right sided chest pain and efort dispnea was hospitalized. Lung sounds were diminished over the scapular area at right hemithorax on oscultation. A well defined homogenous dansity in the right upper zone obliterating paratracheal line was observed at chest x-ray. Multiple milimetric lymphadenopathies in the mediastinum and a consolidation area of 8x10x6 cm in size showing air bronchograms in right lung upper and middle lobes medial segment was reported at computed chest tomography. A mass lesion obliterating the entire right upper lobe entrance which is spreading to the intermediate bronchus was observed with fiberoptic bronchoscopy. Classical type Hodgkin's disease was diagnosed by the histopathologic examination of the mucosal biopsy specimen.

Keywords: Hodgkin’s lymphoma, pulmonary involvement, endobrochial mass

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