Hodgkin Lymphoma Mimicking Osteomyelitis
Hodgkin lymphoma with symptomatic osseous involvement can have a similar presentation to osteomyelitis. Common findings in symptoms, laboratory workup, and imaging can make it very difficult to distinguish between the two diseases. Excisional biopsy should be pursued if fine-needle biopsy is equivoc...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2017-06-01
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| Series: | Case Reports in Oncology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/474938 |
| _version_ | 1819236143690940416 |
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| author | Aneela Majeed Onyee Chan Onyemaechi Okolo Volodymyr Shponka Anca Georgescu Daniel Persky |
| author_facet | Aneela Majeed Onyee Chan Onyemaechi Okolo Volodymyr Shponka Anca Georgescu Daniel Persky |
| author_sort | Aneela Majeed |
| collection | DOAJ |
| description | Hodgkin lymphoma with symptomatic osseous involvement can have a similar presentation to osteomyelitis. Common findings in symptoms, laboratory workup, and imaging can make it very difficult to distinguish between the two diseases. Excisional biopsy should be pursued if fine-needle biopsy is equivocal and suspicion of lymphoma is high. We report a case of a 40-year-old man who presented with a history of marine animal sting on his neck and later developed erythema in the area, chest pain, constitutional symptoms, adenopathy, and imaging classic for sternal osteomyelitis. Fortunately, initial biopsy prompted the possibility of lymphoma, and further workup was initiated, which confirmed Hodgkin lymphoma. This case is a good reminder that malignancies and infections can share many common features, and keeping a broad differential diagnosis can be lifesaving. Proper staging and risk stratification of Hodgkin lymphoma help determine the optimal treatment. |
| first_indexed | 2024-12-23T12:59:45Z |
| format | Article |
| id | doaj.art-1bc04ce384ce48fda03e0914cb24bda6 |
| institution | Directory Open Access Journal |
| issn | 1662-6575 |
| language | English |
| last_indexed | 2024-12-23T12:59:45Z |
| publishDate | 2017-06-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Oncology |
| spelling | doaj.art-1bc04ce384ce48fda03e0914cb24bda62022-12-21T17:46:03ZengKarger PublishersCase Reports in Oncology1662-65752017-06-0110254254710.1159/000474938474938Hodgkin Lymphoma Mimicking OsteomyelitisAneela MajeedOnyee ChanOnyemaechi OkoloVolodymyr ShponkaAnca GeorgescuDaniel PerskyHodgkin lymphoma with symptomatic osseous involvement can have a similar presentation to osteomyelitis. Common findings in symptoms, laboratory workup, and imaging can make it very difficult to distinguish between the two diseases. Excisional biopsy should be pursued if fine-needle biopsy is equivocal and suspicion of lymphoma is high. We report a case of a 40-year-old man who presented with a history of marine animal sting on his neck and later developed erythema in the area, chest pain, constitutional symptoms, adenopathy, and imaging classic for sternal osteomyelitis. Fortunately, initial biopsy prompted the possibility of lymphoma, and further workup was initiated, which confirmed Hodgkin lymphoma. This case is a good reminder that malignancies and infections can share many common features, and keeping a broad differential diagnosis can be lifesaving. Proper staging and risk stratification of Hodgkin lymphoma help determine the optimal treatment.http://www.karger.com/Article/FullText/474938Hodgkin lymphomaLymphomaOsteomyelitisOsseous Hodgkin lymphoma |
| spellingShingle | Aneela Majeed Onyee Chan Onyemaechi Okolo Volodymyr Shponka Anca Georgescu Daniel Persky Hodgkin Lymphoma Mimicking Osteomyelitis Case Reports in Oncology Hodgkin lymphoma Lymphoma Osteomyelitis Osseous Hodgkin lymphoma |
| title | Hodgkin Lymphoma Mimicking Osteomyelitis |
| title_full | Hodgkin Lymphoma Mimicking Osteomyelitis |
| title_fullStr | Hodgkin Lymphoma Mimicking Osteomyelitis |
| title_full_unstemmed | Hodgkin Lymphoma Mimicking Osteomyelitis |
| title_short | Hodgkin Lymphoma Mimicking Osteomyelitis |
| title_sort | hodgkin lymphoma mimicking osteomyelitis |
| topic | Hodgkin lymphoma Lymphoma Osteomyelitis Osseous Hodgkin lymphoma |
| url | http://www.karger.com/Article/FullText/474938 |
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