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Ann Thorac Surg 2003;76:967-972
© 2003 The Society of Thoracic Surgeons

Review

Endobronchial presentation of Hodgkin lymphoma: a review of the literature

Bahram Kiani, BSa, Cynthia M. Magro, MDb, Patrick Ross, Jr, MD, PhDc*

a Department of Pathology, The Ohio State University College of Medicine and Public Health, Columbus, OH USA
b Department of Department of Pathology Columbus, OH USA
c Department of Cardiothoracic Surgery, The Ohio State University Medical Center, Columbus, Ohio USA

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

Endobronchial presentation of Hodgkin lymphoma is exceedingly rare and can be confused clinically with pulmonary small cell carcinoma. Because of the dramatic implications in treatment and prognosis, endobronchial Hodgkin lymphoma, despite its uncommon occurrence, should be considered in the differential of small cell carcinoma and necrotizing vasculitides with pulmonary involvement, especially in a relatively young patient with cough, hemoptysis, atelectasis, and hilar or mediastinal lymphadenopathy. The use of photodynamic laser therapy or stent placement for palliative treatment of life-threatening airway obstruction may be required prior to or as an initial adjunct to tumor-specific therapy.




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