Gai X, Yang W, Zhu H, Sun Y. Digital clubbing occurring in intrathoracic Hodgkin lymphoma: A case report.
Medicine (Baltimore) 2019;
98:e18388. [PMID:
31861002 PMCID:
PMC6940046 DOI:
10.1097/md.0000000000018388]
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Abstract
RATIONALE
Digital clubbing is rarely associated with lymphoma. This study reports a case of intrathoracic Hodgkin lymphoma with digital clubbing and reviews the current literature regarding the clinical characteristics of this condition.
PATIENT CONCERN
A 21-year-old woman presented with a 3-month history of cough and 1 month of fever, with apparent digital clubbing. A computed tomography (CT) scan of the lungs revealed a large pulmonary mass.
DIAGNOSIS
A CT-guided transthoracic needle biopsy was conducted. Pathology determined a diagnosis of Hodgkin lymphoma.
INTERVENTIONS
The patient underwent 6 courses of chemotherapy and intensification, followed by autografting.
OUTCOMES
The patient recovered and a complete hematological remission was obtained. The patient is alive with no evidence of disease 60 months after diagnosis, with the digital clubbing of the fingers and toes completely resolved.
CONCLUSION
Patients with digital clubbing and intrathoracic lesions need to be examined carefully to determine tumor malignancy.
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