Mediastinal lymphoma: apropos of a patient

Abstract

The case of a 25-year-old male patient, with an apparent history of good health, who began to have retrosternal pain with several months of evolution, fainting and occasional dyspnea, is reported. A chest X-ray, a simple lung computed tomography and a contrasted computed tomography were carried out. They showed the presence of a mediastinal tumor. In a right anterolateral thoracotomy, a thick polylobulated tumor was found, covering the superior and anterior mediastinum and encompassing the great vessels. Surgical resection was decided (cytoreductive surgery), since the tumor exerted a compressive effect on the right atrium and ventricle. The pathologic anatomy report indicates: Classical Hodgkin lymphoma, nodular sclerosis variant in the thymic area. The patient improved.

Keywords

• linfoma mediastínico
• resección quirúrgica