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Rare disease
CASE REPORT
Unusual case of primary pulmonary Hodgkin’s lymphoma presenting with a continuous murmur
  1. Luca Conti1,
  2. David Pisani2,
  3. Alexander Gatt3,
  4. Stephen Montefort4
  1. 1Department of Medicine, Mater Dei Hospital, Msida, Malta
  2. 2Histopathology Department, Mater Dei Hospital, Msida, Malta
  3. 3Department of Haematology, Mater Dei Hospital, Msida, Malta
  4. 4Respiratory Department, Mater Dei Hospital, Msida, Malta
  1. Correspondence to Dr Luca Conti, lucaconti91{at}gmail.com

Summary

Systemic to pulmonary fistulas are an unusual entity, even more so in association with Hodgkin’s lymphoma. We herein report a case of a 33-year-old woman that presented with an incidental lung lesion on a chest radiograph with an associated high-frequency continuous murmur over the lesion. The diagnosis of primary pulmonary Hodgkin’s lymphoma, nodular sclerosis type, was obtained by a CT transthoracic biopsy. We achieved an excellent response after polychemotherapy with near-complete disappearance of the mass and a residual faint systolic murmur over the lesion.

  • radiology (diagnostics)
  • haematology (incl blood transfusion)
  • malignant and benign haematology

https://doi.org/10.1136/bcr-2018-225674

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    Footnotes

    • Contributors LC: Collating clinical information, performing diagnostic testing, literature review, writing and revising the manuscript. DP: Histopathological interpretation and reporting, revising the manuscript. AG: Performing diagnostic testing and clinical management and revising the manuscript. SM: Performing diagnostic testing and clinical management and revising the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.