{"title":"A Case of Anterior Mediastinal Hodgkin Lymphoma Exhibiting Abundant Intratumoral Vascular Structures on Computed Tomography.","authors":"Ibuki Namihira, Motohiko Yamazaki, Yukari Goto, Yuma Fuzawa, Masaki Tominaga, Takuya Yagi, Yusuke Tani, Shuhei Kondo, Hajime Umezu, Hiroyuki Ishikawa","doi":"10.1097/RTI.0000000000000906","DOIUrl":null,"url":null,"abstract":"<p><p>Hodgkin lymphoma shows a bimodal age distribution, predominantly affecting young adults and individuals in their 50s and 60s, and is the most common type of lymphoma occurring in the mediastinum. Typical computed tomography (CT) imaging findings include a bulky mass arising in the anterior mediastinum (prevascular compartment) with homogeneous soft-tissue attenuation. Herein, we report a case with unusual CT findings characterized by abundant internal vascular structures in an 18-year-old man with nodular sclerosis classic Hodgkin lymphoma who presented with hemoptysis. Histopathologic examination revealed numerous dilated capillaries within the lesion, which were consistent with the CT findings. Reports of mediastinal lymphoma accompanied by such prominent vascular structures are extremely rare.</p>","PeriodicalId":49974,"journal":{"name":"Journal of Thoracic Imaging","volume":" ","pages":""},"PeriodicalIF":1.3000,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Thoracic Imaging","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/RTI.0000000000000906","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}
引用次数: 0
Abstract
Hodgkin lymphoma shows a bimodal age distribution, predominantly affecting young adults and individuals in their 50s and 60s, and is the most common type of lymphoma occurring in the mediastinum. Typical computed tomography (CT) imaging findings include a bulky mass arising in the anterior mediastinum (prevascular compartment) with homogeneous soft-tissue attenuation. Herein, we report a case with unusual CT findings characterized by abundant internal vascular structures in an 18-year-old man with nodular sclerosis classic Hodgkin lymphoma who presented with hemoptysis. Histopathologic examination revealed numerous dilated capillaries within the lesion, which were consistent with the CT findings. Reports of mediastinal lymphoma accompanied by such prominent vascular structures are extremely rare.
期刊介绍：
Journal of Thoracic Imaging (JTI) provides authoritative information on all aspects of the use of imaging techniques in the diagnosis of cardiac and pulmonary diseases. Original articles and analytical reviews published in this timely journal provide the very latest thinking of leading experts concerning the use of chest radiography, computed tomography, magnetic resonance imaging, positron emission tomography, ultrasound, and all other promising imaging techniques in cardiopulmonary radiology.
Official Journal of the Society of Thoracic Radiology:
Japanese Society of Thoracic Radiology
Korean Society of Thoracic Radiology
European Society of Thoracic Imaging.
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