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J Thorac Cardiovasc Surg 2006;131:e1-e2
© 2006 The American Association for Thoracic Surgery

Brief Communication

Asymptomatic chest wall Hodgkin disease mimicking fibrosing mediastinitis

Charalambos Zisis, MD, PhD a , * , Emmanuel M. Kefaloyannis, MD a , Dimitra Rontogianni, MD, PhD b , Fani Michalopoulou, MD b , Ioannis Kalomenidis, MD, PhD c , Spyros A. Papiris, MD, PhD c , Ion Bellenis, MD, PhD, FETCS a

a Department of Thoracic and Vascular Surgery, Evangelismos General Hospital, Athens, Greece
b Department of Pathology, Evangelismos General Hospital, Athens, Greece
c Department of Chest Disease and Intensive Care Unit, University of Athens, Evangelismos General Hospital, Athens, Greece.

Received for publication August 30, 2005; accepted for publication September 9, 2005.

* Address for reprints: Charalambos Zisis, MD, PhD, 17a, Patriarchou Grigoriou str, 166 74 Glyfada, Greece (Email: chzisis@otenet.gr).

The first 20% of the full text of this article appears below.

Primary mediastinal Hodgkin disease (HD) is usually located in the middle or anterior mediastinal compartments and is the most common mediastinal lymphoma, 1 Go whereas fibrosing mediastinitis is a benign, slowly progressing inflammatory process characterized by excessive fibrotic tissue in the mediastinum. The disease has a tendency to invade and obliterate normal structures such as pulmonary arteries, veins, trachea, main bronchi, superior vena cava, and esophagus. 2 Go Imaging and clinical and histopathologic features sometimes overlap with HD.

Clinical Summary

A 36-year-old white man had a slowly growing mass on the right anterior thoracic wall present during the previous 6 months. The patient was free of symptoms, and the chest x-ray film showed mediastinal widening. A computed tomographic scan of the chest revealed a large mediastinal mass occupying the whole anterior mediastinum, invading the anterior thoracic wall and the soft tissues (muscles, subcutaneous fat), and extending into both hemithoraces (Figure 1).


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  		Figure 1. Chest computed tomographic scan demonstrating the tumor occupying the anterior mediastinum . . . [Full Text of this Article]

 





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