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Ann Thorac Surg 2003;76:940-942
© 2003 The Society of Thoracic Surgeons


Case report

Polypoid endobronchial Hodgkin lymphoma with an initial response to photodynamic therapy

Bahram Kiani, BSa, Cynthia M. Magro, MDa, Pierluigi Porcu, MDb, Marcia Starns, CVTPAc, Nyla Heerema, PhDd, Patrick Ross, Jr, MD, PhDc*

a DEPARTMENT OF Pathology, The Ohio State University Medical Center, Columbus, Ohio, USA
b DEPARTMENT OF Hematology and Oncology, The Ohio State University Medical Center, Columbus, Ohio, USA
c DEPARTMENT OF Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, Ohio, USA
d DEPARTMENT OF Cytogenetics, The Ohio State University Medical Center, Columbus, Ohio, USA

Accepted for publication November 27, 2002.

* Address reprint requests to Dr Ross, Division of Cardiothoracic Surgery, Ohio State University, N816 Doan Hall, 410 W 10th Ave, Columbus, OH 43210, USA
e-mail: ross-3{at}medctr.osu.edu

Endobronchial presentation of Hodgkin lymphoma is rare and can be confused clinically and radiographically with pulmonary small cell carcinoma. We present a case of an obstructive endobronchial presentation of nodular sclerosing classic Hodgkin lymphoma, initially misdiagnosed as small cell carcinoma, with endobronchial vasculitis and associated hemoptysis. Photodynamic therapy relieved the obstruction before induction of tumor-specific therapy. This case demonstrates the successful use of photodynamic therapy in obstructive endobronchial Hodgkin lymphoma.







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