A clinical case of pulmonary Hodgkin’s lymphoma

Abstract

A clinical case of Hodgkin’s disease with lung damage in patient I., 27 years old, the manifestations of which were regarded as a tuberculous process, is presented. The patient received chemotherapy according to regimen III, the negative dynamics was regarded as multidrug resistance of M. tuberculosis, followed by re-registration for chemotherapy regimen IV, negative radiological dynamics still persisting. For the period of patient’s follow up, Mycobacteria and its genetic markers were not isolated. The patient was presented to the medical commission, consulted by a phthisiosurgeon, and diagnostic surgery was recommended. Videothoracoscopy was performed: combined resection of S 2.6 of the right lung with histological examination: large cell anaplastic lymphoma could not be excluded. Immunohistochemical study revealed an immunohistotype characteristic of Hodg-kin’s lymphoma. Hodgkin’s disease was diagnosed. Positive dynamics was achieved against the background of chemotherapy