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Tracheo-oesophageal groove Hodgkin’s lymphoma presenting as stridor: a diagnostic challenge
  1. Joshua Agilinko,
  2. Anas Gomati,
  3. Ghada Bashat and
  4. Muhammad Shakeel
  1. Department of Otolaryngology-Head and Neck Surgery, Aberdeen Royal Infirmary, Aberdeen, UK
  1. Correspondence to Muhammad Shakeel; Muhammad.shakeel{at}nhs.scot

Abstract

A 38-year-old male patient presented to the ear, nose and throat department with shortness of breath over last 2 months. The CT scan of the neck and chest revealed a 3.3×3 cm tumour behind the right thyroid lobe extending into the tracheo-oesophageal (TO) groove with tracheal compression. The ultrasound scan of the neck and targeted fine needle aspiration followed by core biopsy raised a suspicion of Hodgkin’s lymphoma. The patient underwent a right hemithyroidectomy and incisional biopsy of the right TO groove tumour. The histology confirmed a Hasenclever’s three nodular sclerosing Hodgkin’s lymphoma for which he received adjuvant chemotherapy. An incidental pT1a pN0 thyroid papillary microcarcinoma in the adjacent thyroid parenchyma was completely excised. This represents a case of TO Hodgkin’s lymphoma, of which there are no current published case reports. We aim to raise awareness about this rare condition by sharing the diagnostic work up and successful management in a multidisciplinary team setting.

  • cancer intervention
  • ear
  • nose and throat/otolaryngology
  • pathology

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Footnotes

  • Contributors The patient was under the care of MS (consultant ear, nose and throat (ENT)/thyroid surgeon) who also performed the surgery. He ensured accuracy of the surgical aspect of the write-up. GB (consultant histopathologist) interpreted the histology and immunohistochemistry results and involved in writing and ensuring accuracy of the write-up in that regard. JA (core surgical trainee 2) and AG (specialist trainee 5 in ENT/head and neck surgery) undertook a large share of the write-up of this paper.

  • 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 for publication Obtained.

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