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Vol. 6. Issue 5.
Pages 373-381 (September - October 2000)
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Vol. 6. Issue 5.
Pages 373-381 (September - October 2000)
CASO CLÍNICO/CLINICAL CASE
Open Access
Doença de Hodgkin pulmonar
Pulmonary Hodgkin’ s disease
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Salvador Saldanha Coelho1, Ivone Fernandes2, Miguel Araújo3, Teresa Franca4
1 Assistente E. de Pneumologia
2 Interna do Internato Complementar de Pneumologia
3 Assistente H. de Pneumologia
4 Directora do Serviço de Anátomo-Patologia
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RESUMO

ReJatamos três casos de doença de Hodgkin com envolvimento pulmonar. Três doentes tinham sintomas sistémicos e apenas dois respiratórios. Estudos imagiológicos revelaram uma massa sólida no lobo inferior esquerdo no primeiro caso, infiltrados nodulares com cavitação no segundo e uma consolidação pneumónica no terceiro. O diagnóstico de doençã de Hodgkin foi feito em biópsias: brônquica no caso urn, pulmonar por toracoscopia no caso dois e gangUonar no caso Três. Os achados histo1ógicos destes casos eram típlcos da doença. Todos os doentes foram tratados com quimioterapia. Responderam bern ao tratamento mostrando regressão franca das lesões na reavaliação passados três meses.

REV PORT PNEUMOL 2000; VI (5): 373-381

Palavras-chave:
Linfomas pulmonnres
Doença de Hodgkin
ABSTRACT

We report three cases of Hodgkin disease with pulmonary involvement. There were systemic symptoms in all three, and respiratory symptoms in just two patients. lmageologic studies revealed a solid mass on the inferior left pulmonary lobe in the first case, nodular infiltrates with cavitation in the second, and a pneumonic consoUdation in the third. The diagnosis of Hodgkin’s disease was made on biopsies: bronchial in case one, pulmonary through thoracoscopy in case two and lymph node in case three. The histological features of these cases were very typical of the dJsease. All patients were treated with chemotherapy. They responded well to treatment, showing frank regression of the lesions on three month follow-up.

REV PORT PNEUMOL 2000; VI (5): 373-381

Key-words:
Pulmonary Lymphomas
Hodgkin’s Disease
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Copyright © 2000. Sociedade Portuguesa de Pneumologia/SPP
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