Nature clinical practice. Oncology · 2004
Axillary swelling and a reduced general condition in a middle-aged man.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
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Klimm Beate, Engert Andreas, Diehl Volker, German Hodgkin Lymphoma Study Group
Аннотация
BACKGROUND: A 48-year-old man presented to his GP with an indolent swelling in his left axillary region. He also complained of a cough, a feeling of pressure in his chest, general poor health, and had increasingly suffered from night-time sweating and fever. Physical examination and an ultrasound revealed an enlarged lymph node of almost 4 cm in the left axillary region and several smaller lymph nodes of 1.5-2.0 cm in the left cervical region. Laboratory tests were unremarkable, except for an elevated erythrocyte sedimentation rate.
INVESTIGATIONS: Excisional biopsy, radiography, ultrasound, CT scan, bone marrow biopsy, radionuclide imaging, echocardiography and lung function tests.
DIAGNOSIS: Early-stage unfavorable (intermediate) lymphocyte-rich classical Hodgkin's lymphoma.
MANAGEMENT: Chemotherapy (treatment with doxorubicin, bleomycin, vinblastine and dacarbazine) and involved-field radiotherapy.
INVESTIGATIONS: Excisional biopsy, radiography, ultrasound, CT scan, bone marrow biopsy, radionuclide imaging, echocardiography and lung function tests.
DIAGNOSIS: Early-stage unfavorable (intermediate) lymphocyte-rich classical Hodgkin's lymphoma.
MANAGEMENT: Chemotherapy (treatment with doxorubicin, bleomycin, vinblastine and dacarbazine) and involved-field radiotherapy.