결핵과 호지킨 림프종이 액와부 림프절에 공존하였던 1예
Coexistence of Hodgkin's Lymphoma and Tuberculosis in the Same Axillary Lymph Nodes
이상학 (가톨릭대학교)
강현희 (가톨릭대학교)
백명기 (가톨릭대학교 의과대학 내과학교실)
김재경 (가톨릭대학교)
김현진 (가톨릭대학교)
백인운 (가톨릭대학교)
김은오 (가톨릭대학교)
고선혜 (가톨릭대학교)
문화식 (가톨릭대학교)
민기옥 (가톨릭대학교)
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Abstract
Herein we report the case of a 71-year-old woman who complained of fatigue and enlarged right axillary lymph nodes for 18 months. At her first visit, her chest X-ray showed diffuse nodular opacities in both lung fields. Initial excisional biopsy of the axillary lymph nodes showed granulomatous lesions and acid fast bacilli were seen on Ziehl-Neelsen staining. However, even after 15 months of anti-tuberculosis (TB) medication, her right axillary lymph nodes were enlarged. We re-performed an excisional biopsy of the nodes, which showed Hodgkin's lymphoma (HL). A retrograde review of the biopsy before anti-tuberculous medication, revealed HL coexisting with TB. HL and TB cause difficulties in differential diagnosis due to similarities in clinical course, imaging procedures and histopathological analysis of the involved tissue. Therefore, it is important to consider the possibility of concurrent HL and TB when patients who undergo treatment for TB or chemotherapy for lymphoma complain of persistent systemic symptoms or enlarged lymph nodes.
- keywords
- Tuberculosis, Hodgkin Disease, Lymphadenitis
참고문헌
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