Gluteal manifestation of advanced Hodgkin's disease

Samuel Ariad, Lev Hatskelzon, Daniel Benharroch, David B. Geffen

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10 Scopus citations


Hodgkin's disease (HD) is a nodal malignancy with a characteristically axial pattern of spread and with contiguous progression via lymphatic channels. Even when dissemination occurs beyond the lymphoreticular system, certain patterns of associated spread are frequently evident. We describe a case of nodular sclerosis HD with a 12-year indolent course and late involvement of the gluteal muscle. Initially, stage was IVb with spleen and bone marrow involvement, complicated by a Coomb's positive hemolytic anemia. Following chemotherapy, the patient had a partial response with the subsequent long course of slowly progressive disease invading first the urinary bladder and, later, the gluteus. Involvement of the gluteal muscle is a rare event in HD. Spread to the gluteus occurred most likely by contiguity, via retroperitoneal lymphnodes.

Original languageEnglish
Pages (from-to)622-625
Number of pages4
JournalSkeletal Radiology
Issue number10
StatePublished - 1 Oct 1997


  • Contiguity
  • Gluteus
  • Hodgkin's disease
  • Lymphoma
  • Metastasis
  • Striated muscle


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