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BMJ Case Reports 2012; doi:10.1136/bcr-2012-006219
  • Unusual presentation of more common disease/injury

Hodgkin's lymphoma presents as an inguinal abscess: a case report and literature review

  1. Muwaffaq Mezeil Telfah
  1. Department of Surgery, College of Medicine, University of Mosul, Mosul, Ninevah, Iraq
  1. Correspondence to Dr Muwaffaq Mezeil Telfah, muwaffaqtelfah{at}yahoo.com

Summary

Lymphadenitis with suppuration is a rare presentation of Hodgkin's lymphoma with few cases reported in the literature. We report two cases of Hodgkin's lymphoma in two male members of the same family. They presented initially with clinical features suggesting infective inguinal lymphadenitis and then the picture was indistinguishable from inguinal abscess. The diagnosis was made after drainage of the pus and excision of the involved lymph node. The histopathology of the excised lymph node showed Hodgkin's lymphoma—nodular sclerosis for both brothers. After careful staging of both patients, the disease found to be localised to the inguinal group of lymph nodes. The patients referred to the haematologist for chemotherapy and they recovered after treatment.

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