Hodgkin S Disease Presenting Epitrochlear Nodes

Two cases of hodgkin s disease hd presenting in epitrochlear nodes are described and compared to four similar cases gleaned from the literature. 7 this very rare presentation of hodgkin disease was first described 1932 by rouviere. The literature consists mainly of isolated case studies.

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Hodgkin s disease presenting epitrochlear nodes. A few patients with this disease have been reported to have involvement of epitrochlear lymph nodes but none have had disease limited to this nodal site. Hodgkin s disease presenting in epitrochlear lymph nodes. Hodgkin disease presenting with epitrochlear lymphadenopathy. Patients with hodgkin disease with epitrochlear lymph node involvement 7 this very rare presentation of hodgkin dis ease was first described 1932 by rouviere 8 in the subse quent years authors have reported epitrochlear lymph node positivity in hodgkin disease with physical examination findings in rare isolated cases or several large series.

8 in the subsequent years authors have reported epitrochlear lymph node positivity in hodgkin disease with physical examination findings in rare isolated cases or several large series. Gadolinium enhanced t1 weighted magnetic resonance imaging b revealed multiple enlarged lymph nodes arrows within the distal third of the arm and the epitrochlear region. In the literature very limited information is available on patients with hodgkin disease with epitrochlear lymph node involvement. Of the four patients staged with laparotomy two had infradiaphragmatic disease.

Only very limited information is available on patients with epitrochlear hodgkin disease. The nodular sclerosis type of hd was present in 5 of the 6 patients. Weiss rb jenkins jj 3rd. Two cases of hodgkin s disease hd presenting in epitrochlear nodes are described and compared to four similar cases gleaned from the literature.

A patient who had clinical stage ia hodgkin s disease involving a single group of epitrochlear nodes is presented. Of the four patients staged with laparotomy two had infradiaphragmatic disease. Enlargement of the epitrochlear lymph nodes is rarely seen in hodgkin disease either as the sole site of involvement or as part of more widespread disease. The nodular sclerosis type of hd was present in 5 of the 6 patients.